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NPI Code Detail

MEDICARE: MRS. SALLY ANN HUSTON RPH

MEDICARE:  MRS. SALLY ANN HUSTON  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
1183500000XPharmacist03218133OH

General Provider Information

NPI Number : 1841585460
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SALLY ANN HUSTON RPH
Provider Business Mailing Address
First Line : 5700 EXECUTIVE BLVD
Second Line :
City : HUBER HEIGHTS
State : OH
Zip : 45424-1449
Country : US
Telephone Number : 937-233-4133
Fax Number : 937-401-5464
Provider Business Practice Location Address
First Line : 5700 EXECUTIVE BLVD
Second Line :
City : HUBER HEIGHTS
State : OH
Zip : 45424-1449
Country : US
Telephone Number : 937-233-4133
Fax Number : 937-401-5464
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2011
Last Update Date : 10/06/2013

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Directions to “ MRS. SALLY ANN HUSTON RPH” Practice Location

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