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NPI Code Detail

MEDICARE: DR. MAUREEN CROSSMAN PHARM.D.

MEDICARE: DR. MAUREEN CROSSMAN PHARM.D.
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
1183500000XPharmacist03318334OH

General Provider Information

NPI Number : 1427050798
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAUREEN CROSSMAN PHARM.D.
Provider Business Mailing Address
First Line : PO BOX 651
Second Line :
City : LEBANON
State : OH
Zip : 45036-0651
Country : US
Telephone Number : 937-212-9953
Fax Number :
Provider Business Practice Location Address
First Line : 3120 GOVERNORS PLACE BLVD
Second Line :
City : KETTERING
State : OH
Zip : 45409-1328
Country : US
Telephone Number : 937-528-0334
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 07/08/2007

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