MEDICARE: NOAH HOWARD CPHT, RPHT

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	183700000X	Pharmacy Technician	09210391	OH

General Provider Information

NPI Number	:	1255914008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOAH HOWARD CPHT, RPHT

Provider Business Mailing Address
First Line	:	5028 ABBOT RUN CT
Second Line	:
City	:	LIBERTY TWP
State	:	OH
Zip	:	45011-8657
Country	:	US
Telephone Number	:	513-889-9552
Fax Number	:

Provider Business Practice Location Address
First Line	:	5011 PRINCETON RD
Second Line	:
City	:	LIBERTY TWP
State	:	OH
Zip	:	45011-9737
Country	:	US
Telephone Number	:	513-737-1993
Fax Number	:

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

Provider Enumeration Date	:	04/29/2021
Last Update Date	:	04/29/2021

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