Healthcare Provider Details

I. General information

NPI: 1255436929
Provider Name (Legal Business Name): ROHE PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4047 HARRISON AVE
CINCINNATI OH
45211-4639
US

IV. Provider business mailing address

4047 HARRISON AVE
CINCINNATI OH
45211-4639
US

V. Phone/Fax

Practice location:
  • Phone: 513-661-0480
  • Fax: 513-661-9456
Mailing address:
  • Phone: 513-661-0480
  • Fax: 513-661-9456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number02-0163450
License Number StateOH

VIII. Authorized Official

Name: MR. RICHARD DUANE BRUNST
Title or Position: PRESIDENT
Credential: R.PH.
Phone: 513-661-0480