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NPI Code Detail

MEDICARE: CITY OF CINCINNATI

MEDICARE: CITY OF CINCINNATI
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
1333600000XPharmacy
23336C0002XClinic PharmacyCLPH.020249800-03OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12073789OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316000920
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY OF CINCINNATI
Provider Business Mailing Address
First Line : 2750 BEEKMAN ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45225-2049
Country : US
Telephone Number : 513-352-3195
Fax Number : 513-352-4379
Provider Business Practice Location Address
First Line : 2750 BEEKMAN ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45225-2049
Country : US
Telephone Number : 513-352-3195
Fax Number : 513-352-4379
Authorized Official
Title or Position : DIRECTOR OF PHARMACY
Name : QUENTIN NORMAN
Credential : PHARMD
Telephone Number : 513-352-3801
Provider Enumeration Date : 12/18/2006
Last Update Date : 02/14/2017

Similar Medicare Providers

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1427260678 — JODI CHRISTOPFEL MSW LISW-S
Practice Location Address:
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Practice Fax:
1336462050 — CITY OF CINCINNATI
Practice Location Address:
2750 BEEKMAN ST
CINCINNATI, OH
45225-2049
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1073836797 — CITY OF CINCINNATI
Practice Location Address:
2750 BEEKMAN ST
CINCINNATI, OH
45225-2049
Practice Phone: 513-352-3192
Practice Fax: 513-352-3137

Directions to “CITY OF CINCINNATI ” Practice Location

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