MEDICARE: DR. HEATHER BEDINGHAUS 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	03132190	OH

General Provider Information

NPI Number	:	1558753061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEATHER BEDINGHAUS PHARMD

Provider Business Mailing Address
First Line	:	3654 RIDGEWOOD AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-2621
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2310 FERGUSON RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-3503
Country	:	US
Telephone Number	:	513-922-8194
Fax Number	:

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

Provider Enumeration Date	:	02/21/2015
Last Update Date	:	02/21/2015

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