Healthcare Provider Details

I. General information

NPI: 1790040368
Provider Name (Legal Business Name): ANNE H METZGER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2012
Last Update Date: 07/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 S LUDLOW ST
DAYTON OH
45402-2610
US

IV. Provider business mailing address

3225 EDEN AVE 301C WHERRY
CINCINNATI OH
45267-0004
US

V. Phone/Fax

Practice location:
  • Phone: 937-208-8838
  • Fax:
Mailing address:
  • Phone: 513-558-0264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03127204
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number03127204
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: