Healthcare Provider Details

I. General information

NPI: 1689273021
Provider Name (Legal Business Name): JAMIE COMBS RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2020
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 W CENTRAL AVE
SPRINGBORO OH
45066-1111
US

IV. Provider business mailing address

625 W CENTRAL AVE
SPRINGBORO OH
45066-1111
US

V. Phone/Fax

Practice location:
  • Phone: 937-514-7130
  • Fax: 937-514-7131
Mailing address:
  • Phone: 937-514-7130
  • Fax: 937-514-7131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03439775
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: