=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508984295
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GABY HUHUREZ RPH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/27/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3651 TOWNE BLVD
-----------------------------------------------------
City | FRANKLIN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45005-5516
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-424-2499
-----------------------------------------------------
Fax | 513-420-3965
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 83 LOCUST DR
-----------------------------------------------------
City | SPRINGBORO
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45066-1413
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 03-2-26169
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------