MEDICARE: MRS. RENEE BINDER BLAIR RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	011351	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003039413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RENEE BINDER BLAIR RPH

Provider Business Mailing Address
First Line	:	36 HEMLOCK WAY
Second Line	:
City	:	LONDON
State	:	KY
Zip	:	40741-9283
Country	:	US
Telephone Number	:	606-878-7259
Fax Number	:

Provider Business Practice Location Address
First Line	:	11901 N HIGHWAY 421
Second Line	:
City	:	MANCHESTER
State	:	KY
Zip	:	40962-4859
Country	:	US
Telephone Number	:	606-599-8891
Fax Number	:	606-598-0613

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	07/08/2007

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