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NPI Code Detail

MEDICARE: ASHLEY HAMBERG PHARMD

MEDICARE: ASHLEY HAMBERG 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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist03129563OH

General Provider Information

NPI Number : 1588054118
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY HAMBERG PHARMD
Provider Business Mailing Address
First Line : 1269 MISTY LAKE LN
Second Line :
City : BATAVIA
State : OH
Zip : 45103-1183
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3760 PAXTON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45209-2306
Country : US
Telephone Number : 513-871-0725
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2015
Last Update Date : 02/04/2015

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