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NPI Code Detail

MEDICARE: JACQUELYN MARIE HELMES PHARMD

MEDICARE: JACQUELYN MARIE HELMES 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
1183500000XPharmacist03132224OH

General Provider Information

NPI Number : 1174915797
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELYN MARIE HELMES PHARMD
Provider Business Mailing Address
First Line : 5830 HARRISON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45248-1623
Country : US
Telephone Number : 513-574-5044
Fax Number :
Provider Business Practice Location Address
First Line : 5830 HARRISON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45248-1623
Country : US
Telephone Number : 513-574-5044
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2015
Last Update Date : 02/19/2015

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