Healthcare Provider Details

I. General information

NPI: 1386463875
Provider Name (Legal Business Name): MAJD KEJO RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2024
Last Update Date: 10/10/2024
Certification Date: 10/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

379 DIXMYTH AVE
CINCINNATI OH
45220-2475
US

IV. Provider business mailing address

314 CLEVELAND AVE
SAINT BERNARD OH
45217-1330
US

V. Phone/Fax

Practice location:
  • Phone: 513-872-2006
  • Fax: 513-246-7432
Mailing address:
  • Phone: 513-800-8945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03444637
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: