Healthcare Provider Details

I. General information

NPI: 1275658346
Provider Name (Legal Business Name): NEIGHBORHOOD HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 01/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 AUBURN AVE
CINCINNATI OH
45219-2701
US

IV. Provider business mailing address

2415 AUBURN AVE
CINCINNATI OH
45219-2701
US

V. Phone/Fax

Practice location:
  • Phone: 513-412-5441
  • Fax: 513-412-5442
Mailing address:
  • Phone: 513-412-5441
  • Fax: 513-412-5442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number020257600
License Number StateOH

VIII. Authorized Official

Name: MARCIA IRVING-RAY
Title or Position: CEO
Credential: DDS
Phone: 513-221-4949