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NPI Code Detail

MEDICARE: TINA SEMON RPH

MEDICARE:   TINA  SEMON  RPH
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
1183500000XPharmacist03216555OH

General Provider Information

NPI Number : 1356623896
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINA SEMON RPH
Provider Business Mailing Address
First Line : 4890 N HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-1552
Country : US
Telephone Number : 614-261-9013
Fax Number :
Provider Business Practice Location Address
First Line : 4890 N HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-1552
Country : US
Telephone Number : 614-261-9013
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2011
Last Update Date : 09/11/2011

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Directions to “ TINA SEMON RPH” Practice Location

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