MEDICARE: DR. RITA GAIL KESLAR 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	03-2-25132	OH

General Provider Information

NPI Number	:	1144214131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RITA GAIL KESLAR PHARMD

Provider Business Mailing Address
First Line	:	227 RALPH ST
Second Line	:
City	:	JACKSON
State	:	OH
Zip	:	45640-2034
Country	:	US
Telephone Number	:	740-395-8364
Fax Number	:	740-395-8372

Provider Business Practice Location Address
First Line	:	500 BURLINGTON RD
Second Line	:
City	:	JACKSON
State	:	OH
Zip	:	45640-9360
Country	:	US
Telephone Number	:	740-395-8364
Fax Number	:	740-395-8372

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

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	07/08/2007

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