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NPI Code Detail

MEDICARE: JENNIFER BASHORE

MEDICARE: JENNIFER BASHORE
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
1183500000XPharmacist03237010OH

General Provider Information

NPI Number : 1033734249
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER BASHORE
Provider Business Mailing Address
First Line : 7398 WOOSTER PIKE
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-3834
Country : US
Telephone Number : 513-271-3131
Fax Number : 513-271-3457
Provider Business Practice Location Address
First Line : 7398 WOOSTER PIKE
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-3834
Country : US
Telephone Number : 513-271-3131
Fax Number : 513-271-3457
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2020
Last Update Date : 06/12/2020

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