MEDICARE: BRIAN SEDERS 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
1	183500000X	Pharmacist	03334773	OH

General Provider Information

NPI Number	:	1811590029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN SEDERS PHARMD

Provider Business Mailing Address
First Line	:	274 HAWKING DR
Second Line	:
City	:	GALENA
State	:	OH
Zip	:	43021-8086
Country	:	US
Telephone Number	:	614-273-5312
Fax Number	:

Provider Business Practice Location Address
First Line	:	175 W MAIN ST
Second Line	:
City	:	NEW ALBANY
State	:	OH
Zip	:	43054-9227
Country	:	US
Telephone Number	:	614-855-5771
Fax Number	:	614-933-0434

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

Provider Enumeration Date	:	11/19/2020
Last Update Date	:	11/19/2020

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Directions to “ BRIAN SEDERS PHARMD” Practice Location

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