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NPI Code Detail

MEDICARE: CHRISTOPHER KECK PHARMD

MEDICARE: CHRISTOPHER KECK 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
1183500000XPharmacist03233953OH

General Provider Information

NPI Number : 1417573940
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER KECK PHARMD
Provider Business Mailing Address
First Line : 7724 COLDBROOK LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45255-4326
Country : US
Telephone Number : 513-582-4318
Fax Number : 513-931-7130
Provider Business Practice Location Address
First Line : 6918 HAMILTON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45231-5212
Country : US
Telephone Number : 513-931-1717
Fax Number : 513-931-7130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2020
Last Update Date : 06/20/2020

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