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NPI Code Detail

MEDICARE: PHARMACY OVER THE RHINE

MEDICARE: PHARMACY OVER THE RHINE
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
13336C0003XCommunity/Retail PharmacyOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13675406OTHEROTHER ID NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285731190
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHARMACY OVER THE RHINE
Provider Business Mailing Address
First Line : 5 E LIBERTY ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-8202
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5 E LIBERTY ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-8202
Country : US
Telephone Number : 513-579-0900
Fax Number : 513-579-0123
Authorized Official
Title or Position : PIC
Name : SUSAN LATTIER
Credential : RPH
Telephone Number : 513-579-0900
Provider Enumeration Date : 09/20/2006
Last Update Date : 09/13/2007

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Directions to “PHARMACY OVER THE RHINE ” Practice Location

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