MEDICARE: MR. STEVEN D RATHMAN RPH

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	03213888	OH

General Provider Information

NPI Number	:	1194865196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN D RATHMAN RPH

Provider Business Mailing Address
First Line	:	4075 E GALBRAITH RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2323
Country	:	US
Telephone Number	:	513-791-7958
Fax Number	:	513-791-7541

Provider Business Practice Location Address
First Line	:	4075 E GALBRAITH RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2323
Country	:	US
Telephone Number	:	513-791-7958
Fax Number	:	513-791-7541

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

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	07/08/2007

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