MEDICARE: ZACHARY FOX PHARMD

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	03440635	OH

General Provider Information

NPI Number	:	1063172732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY FOX PHARMD

Provider Business Mailing Address
First Line	:	4966 GLENWAY AVE STE 101
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-3915
Country	:	US
Telephone Number	:	513-337-9995
Fax Number	:	513-244-2739

Provider Business Practice Location Address
First Line	:	4966 GLENWAY AVE STE 101
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-3915
Country	:	US
Telephone Number	:	513-337-9995
Fax Number	:	513-244-2739

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

Provider Enumeration Date	:	12/22/2021
Last Update Date	:	12/22/2021

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Directions to “ ZACHARY FOX PHARMD” Practice Location

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