Healthcare Provider Details

I. General information

NPI: 1558397810
Provider Name (Legal Business Name): MICHAEL ALLEN HEGENER PHARMD, BCACP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 05/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF CINCINNATI COLLEGE OF PHARMACY 3225 EDEN AVENUE
CINCINNATI OH
45267-0004
US

IV. Provider business mailing address

UNIVERSITY OF CINCINNATI COLLEGE OF PHARMACY 3225 EDEN AVENUE
CINCINNATI OH
45267-0004
US

V. Phone/Fax

Practice location:
  • Phone: 513-558-7806
  • Fax:
Mailing address:
  • Phone: 513-558-7806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number012892
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: