Healthcare Provider Details
I. General information
NPI: 1083990865
Provider Name (Legal Business Name): JOSEPH DUNIGAN PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/25/2011
Last Update Date: 03/01/2023
Certification Date: 03/01/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3200 BURNET AVE
CINCINNATI OH
45229-3019
US
IV. Provider business mailing address
2654 BRIARCLIFFE AVE
CINCINNATI OH
45212-1306
US
V. Phone/Fax
- Phone: 513-585-9700
- Fax: 513-585-9711
- Phone: 513-478-4438
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 03331273 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: