MEDICARE: LAWRENCE R NUSS 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
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	03-2-17799	OH

General Provider Information

NPI Number	:	1518359926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAWRENCE R NUSS RPH

Provider Business Mailing Address
First Line	:	5080 DELHI RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-5343
Country	:	US
Telephone Number	:	513-451-7050
Fax Number	:	513-451-0172

Provider Business Practice Location Address
First Line	:	5080 DELHI RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-5343
Country	:	US
Telephone Number	:	513-451-7050
Fax Number	:	513-451-0172

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2015
Last Update Date	:	05/12/2026

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