Healthcare Provider Details

I. General information

NPI: 1831849371
Provider Name (Legal Business Name): ABIGAIL BECHTOL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2022
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 BURNET AVE
CINCINNATI OH
45229-3019
US

IV. Provider business mailing address

3200 BURNET AVE
CINCINNATI OH
45229-3019
US

V. Phone/Fax

Practice location:
  • Phone: 513-585-9700
  • Fax: 513-585-9711
Mailing address:
  • Phone: 513-585-9700
  • Fax: 513-585-9711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number03444205
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: