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NPI Code Detail

MEDICARE: MS. HAZEL M MYRICK RPH

MEDICARE:  MS. HAZEL M MYRICK  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
1183500000XPharmacist03315797OH

General Provider Information

NPI Number : 1508143264
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HAZEL M MYRICK RPH
Provider Business Mailing Address
First Line : 2143 DEER MEADOW DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45240-1061
Country : US
Telephone Number : 513-674-0898
Fax Number :
Provider Business Practice Location Address
First Line : 2143 DEER MEADOW DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45240-1061
Country : US
Telephone Number : 513-674-0898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2011
Last Update Date : 11/09/2011

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Directions to “ MS. HAZEL M MYRICK RPH” Practice Location

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