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NPI Code Detail

MEDICARE: JAMES WING

MEDICARE: JAMES WING
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
1183500000XPharmacist03109492OH

General Provider Information

NPI Number : 1578955431
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES WING
Provider Business Mailing Address
First Line : 824 MAIN ST
Second Line :
City : MILFORD
State : OH
Zip : 45150-1726
Country : US
Telephone Number : 513-831-4269
Fax Number :
Provider Business Practice Location Address
First Line : 824 MAIN ST
Second Line :
City : MILFORD
State : OH
Zip : 45150-1726
Country : US
Telephone Number : 513-831-4269
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2015
Last Update Date : 03/02/2015

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Directions to “ JAMES WING ” Practice Location

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