MEDICARE: MR. CHARLES MICHAEL NEU 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	183500000X	Pharmacist	03-1-10860	OH

General Provider Information

NPI Number	:	1548472293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHARLES MICHAEL NEU RPH

Provider Business Mailing Address
First Line	:	4738 MANCHESTER RD
Second Line	:
City	:	MIDDLETOWN
State	:	OH
Zip	:	45042-3044
Country	:	US
Telephone Number	:	513-424-6067
Fax Number	:

Provider Business Practice Location Address
First Line	:	2323 DAYTON GERMANTOWN PIKE
Second Line	:
City	:	GERMANTOWN
State	:	OH
Zip	:	45327-1170
Country	:	US
Telephone Number	:	937-855-7296
Fax Number	:

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

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	07/08/2007

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