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NPI Code Detail

MEDICARE: MR. ROGER BICKHART RPH

MEDICARE:  MR. ROGER  BICKHART  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
1183500000XPharmacist3-1-11120OH

General Provider Information

NPI Number : 1659355196
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROGER BICKHART RPH
Provider Business Mailing Address
First Line : 1037 E MAIN ST
Second Line :
City : LOUDONVILLE
State : OH
Zip : 44842-9560
Country : US
Telephone Number : 419-994-3221
Fax Number : 419-994-4040
Provider Business Practice Location Address
First Line : 202 W MAIN ST
Second Line :
City : LOUDONVILLE
State : OH
Zip : 44842-1134
Country : US
Telephone Number : 419-994-3221
Fax Number : 419-994-4040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 07/08/2007

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Directions to “ MR. ROGER BICKHART RPH” Practice Location

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