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NPI Code Detail

MEDICARE: JEFFREY RYAN KREITZER

MEDICARE: JEFFREY RYAN KREITZER
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
1183500000XPharmacist03124795OH

General Provider Information

NPI Number : 1669758249
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY RYAN KREITZER
Provider Business Mailing Address
First Line : 3887 DRAKEWOOD DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45209-2125
Country : US
Telephone Number : 513-288-6161
Fax Number :
Provider Business Practice Location Address
First Line : 9 W MITCHELL AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45217-1525
Country : US
Telephone Number : 513-646-1242
Fax Number : 513-641-0841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2011
Last Update Date : 10/27/2011

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Directions to “ JEFFREY RYAN KREITZER ” Practice Location

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