MEDICARE: HELEN MARINAKIS 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
1	183500000X	Pharmacist	03223596-2	OH

General Provider Information

NPI Number	:	1518467125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN MARINAKIS PHARMD

Provider Business Mailing Address
First Line	:	11333 CORNELL PARK DR
Second Line	:
City	:	BLUE ASH
State	:	OH
Zip	:	45242-1813
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11333 CORNELL PARK DR
Second Line	:
City	:	BLUE ASH
State	:	OH
Zip	:	45242-1813
Country	:	US
Telephone Number	:	513-878-2115
Fax Number	:

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

Provider Enumeration Date	:	02/20/2018
Last Update Date	:	02/20/2018

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