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NPI Code Detail

MEDICARE: JOSEPH CRESAP

MEDICARE:   JOSEPH  CRESAP
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
1183500000XPharmacistPSI31210FL

General Provider Information

NPI Number : 1063803864
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH CRESAP
Provider Business Mailing Address
First Line : 2117 BUTLERSBRIDGE CT
Second Line :
City : CINCINNATI
State : OH
Zip : 45244-2653
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2117 BUTLERSBRIDGE CT
Second Line :
City : CINCINNATI
State : OH
Zip : 45244-2653
Country : US
Telephone Number : 513-235-2029
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2015
Last Update Date : 02/15/2015

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Directions to “ JOSEPH CRESAP ” Practice Location

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