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NPI Code Detail

MEDICARE: DR. JENNIFER FABER PHARMD

MEDICARE: DR. JENNIFER FABER 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
1183500000XPharmacist11002NE
2183500000XPharmacist33407OH

General Provider Information

NPI Number : 1285224626
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER FABER PHARMD
Provider Business Mailing Address
First Line : 7105 GRAVES RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-3850
Country : US
Telephone Number : 513-444-0137
Fax Number :
Provider Business Practice Location Address
First Line : 9546 MONTGOMERY RD
Second Line :
City : MONTGOMERY
State : OH
Zip : 45242-7220
Country : US
Telephone Number : 513-444-0137
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2021
Last Update Date : 02/14/2021

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