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NPI Code Detail

MEDICARE: PAIGE ANN TEDESCO RPH

MEDICARE: PAIGE ANN TEDESCO 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
1183500000XPharmacist03318436OH

General Provider Information

NPI Number : 1407360548
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAIGE ANN TEDESCO RPH
Provider Business Mailing Address
First Line : 4989 TROUBADOR CT
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-6028
Country : US
Telephone Number : 513-702-8553
Fax Number :
Provider Business Practice Location Address
First Line : 1019 LINN ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45203-1314
Country : US
Telephone Number : 513-233-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2017
Last Update Date : 11/28/2017

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Directions to “ PAIGE ANN TEDESCO RPH” Practice Location

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