Healthcare Provider Details

I. General information

NPI: 1801319686
Provider Name (Legal Business Name): COMMUNITY FIRST PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2017
Last Update Date: 06/01/2023
Certification Date: 05/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1026 MAIN STREET
HAMILTON OH
45013
US

IV. Provider business mailing address

230 LUDLOW ST
HAMILTON OH
45011-2903
US

V. Phone/Fax

Practice location:
  • Phone: 513-645-5447
  • Fax:
Mailing address:
  • Phone: 513-645-5447
  • Fax: 800-682-8320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberRTP021761700
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BRIAN KRAUSE
Title or Position: CFO
Credential:
Phone: 513-785-4054