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NPI Code Detail

MEDICARE: DR. DANIEL RAYMOND BEHRENS PHARM.D., R.PH.

MEDICARE:  DR. DANIEL RAYMOND BEHRENS  PHARM.D., R.PH.
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
1183500000XPharmacist03-2-19310OH

General Provider Information

NPI Number : 1326021098
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL RAYMOND BEHRENS PHARM.D., R.PH.
Provider Business Mailing Address
First Line : PO BOX 794
Second Line :
City : OXFORD
State : OH
Zip : 45056-0794
Country : US
Telephone Number : 937-444-0133
Fax Number : 937-444-1442
Provider Business Practice Location Address
First Line : 131 N POINT DR
Second Line :
City : MOUNT ORAB
State : OH
Zip : 45154-8366
Country : US
Telephone Number : 937-444-0133
Fax Number : 937-444-1442
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2005
Last Update Date : 07/08/2007

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