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NPI Code Detail

MEDICARE: MRS. BRITTNEY CONWAY RPH

MEDICARE: MRS. BRITTNEY CONWAY 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
1183500000XPharmacist03122673OH

General Provider Information

NPI Number : 1588190722
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRITTNEY CONWAY RPH
Provider Business Mailing Address
First Line : 2888 CLARK STATE XING
Second Line :
City : BLACKLICK
State : OH
Zip : 43004-7166
Country : US
Telephone Number : 614-352-5618
Fax Number :
Provider Business Practice Location Address
First Line : 7000 E BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-1519
Country : US
Telephone Number : 614-575-3741
Fax Number : 614-552-6017
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2017
Last Update Date : 05/09/2017

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