MEDICARE: TODD RAYMOND SPRINGMYER

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
1	183500000X	Pharmacist	03114813	OH

General Provider Information

NPI Number	:	1376147850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD RAYMOND SPRINGMYER

Provider Business Mailing Address
First Line	:	4110 HARRISON AVE
Second Line	:
City	:	CHEVIOT
State	:	OH
Zip	:	45211-4557
Country	:	US
Telephone Number	:	513-574-1770
Fax Number	:	513-574-6764

Provider Business Practice Location Address
First Line	:	4110 HARRISON AVE
Second Line	:
City	:	CHEVIOT
State	:	OH
Zip	:	45211-4557
Country	:	US
Telephone Number	:	513-574-1770
Fax Number	:	513-574-6764

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2020
Last Update Date	:	11/25/2020

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Directions to “ TODD RAYMOND SPRINGMYER ” Practice Location

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