Healthcare Provider Details

I. General information

NPI: 1588036669
Provider Name (Legal Business Name): HEMEESH RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2015
Last Update Date: 02/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1019 LINN ST
CINCINNATI OH
45203-1314
US

IV. Provider business mailing address

1019 LINN ST
CINCINNATI OH
45203-1314
US

V. Phone/Fax

Practice location:
  • Phone: 513-241-3444
  • Fax: 513-241-3440
Mailing address:
  • Phone: 513-241-3444
  • Fax: 513-241-3440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberRTP.022550550-03
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BHAVESH PATEL
Title or Position: OWNER, PIC, AO
Credential: RPH
Phone: 513-241-3444