Healthcare Provider Details

I. General information

NPI: 1659396745
Provider Name (Legal Business Name): KRISTEN H SCHWETSCHENAU PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 07/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 VINE ST PHARMACY-119
CINCINNATI OH
45220-2213
US

IV. Provider business mailing address

1755 S ERIE HWY SUITE C
HAMILTON OH
45011-4144
US

V. Phone/Fax

Practice location:
  • Phone: 513-870-9444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number03-3-19864
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: