Healthcare Provider Details

I. General information

NPI: 1750363313
Provider Name (Legal Business Name): CHARLES DAY R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7567 BRIDGETOWN RD
CINCINNATI OH
45248-2014
US

IV. Provider business mailing address

3841 POWNER RD
CINCINNATI OH
45248-2918
US

V. Phone/Fax

Practice location:
  • Phone: 513-941-4011
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03-1-14741
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: