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NPI Code Detail

MEDICARE: MICHAEL CROTTY PHARMD

MEDICARE: MICHAEL CROTTY PHARMD
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
1183500000XPharmacist03227978OH

General Provider Information

NPI Number : 1396027215
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL CROTTY PHARMD
Provider Business Mailing Address
First Line : 8142 TRAVERSE CT
Second Line :
City : MONTGOMERY
State : OH
Zip : 45242-7224
Country : US
Telephone Number : 513-378-0083
Fax Number :
Provider Business Practice Location Address
First Line : 12110 LEBANON RD
Second Line :
City : SHARONVILLE
State : OH
Zip : 45241-1739
Country : US
Telephone Number : 513-769-8188
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2011
Last Update Date : 09/16/2011

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Directions to “ MICHAEL CROTTY PHARMD” Practice Location

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