MEDICARE: BEVERLY ANN LUDWIG CPHT

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
1	183700000X	Pharmacy Technician	30001957	OH

General Provider Information

NPI Number	:	1689270704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEVERLY ANN LUDWIG CPHT

Provider Business Mailing Address
First Line	:	5150 E DUBLIN GRANVILLE RD STE 140
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43081-8701
Country	:	US
Telephone Number	:	614-788-8600
Fax Number	:	614-788-8587

Provider Business Practice Location Address
First Line	:	5150 E DUBLIN GRANVILLE RD STE 140
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43081-8701
Country	:	US
Telephone Number	:	614-788-8600
Fax Number	:	614-788-8587

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2020
Last Update Date	:	03/14/2023

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