MEDICARE: ASHLEY ELIZABETH KENDIG 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	03129441	OH

General Provider Information

NPI Number	:	1144500653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY ELIZABETH KENDIG PHARMD

Provider Business Mailing Address
First Line	:	9775 COLERAIN AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45251-1442
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9775 COLERAIN AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45251-1442
Country	:	US
Telephone Number	:	513-385-6900
Fax Number	:

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

Provider Enumeration Date	:	08/29/2011
Last Update Date	:	02/03/2012

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