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NPI Code Detail

MEDICARE: ANDREA HANEY RPH

MEDICARE:   ANDREA  HANEY  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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist03233804OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
103233804OTHEROHOHIO STATE BOARD OF PHARMACY
2018090OTHERKYKENTUCKY STATE BOARD OF PHARMACY

General Provider Information

NPI Number : 1023625613
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA HANEY RPH
Provider Business Mailing Address
First Line : 2449 ROSS MILLVILLE RD STE 185
Second Line :
City : HAMILTON
State : OH
Zip : 45013-8955
Country : US
Telephone Number : 151-386-3800
Fax Number : 513-863-8001
Provider Business Practice Location Address
First Line : 2449 ROSS MILLVILLE RD STE 185
Second Line :
City : HAMILTON
State : OH
Zip : 45013-8955
Country : US
Telephone Number : 151-386-3800
Fax Number : 513-863-8001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2020
Last Update Date : 09/28/2020

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