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NPI Code Detail

MEDICARE: ERIN PUENING

MEDICARE: ERIN PUENING
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
1183500000XPharmacist03-1-27306OH
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist03127306OH

General Provider Information

NPI Number : 1245315134
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN PUENING
Provider Business Mailing Address
First Line : 3760 PAXTON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45209-2306
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3760 PAXTON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45209-2306
Country : US
Telephone Number : 513-871-0725
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 06/03/2011

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Directions to “ ERIN PUENING ” Practice Location

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