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NPI Code Detail

MEDICARE: MICHAEL THOMAS HADAWAY RPH

MEDICARE: MICHAEL THOMAS HADAWAY 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
1183500000XPharmacist03316903OH

General Provider Information

NPI Number : 1851501043
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL THOMAS HADAWAY RPH
Provider Business Mailing Address
First Line : 3277 BEREDITH PL
Second Line :
City : CINCINNATI
State : OH
Zip : 45213-1456
Country : US
Telephone Number : 513-396-7864
Fax Number :
Provider Business Practice Location Address
First Line : 4310 COOPER RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45242-5613
Country : US
Telephone Number : 513-396-7864
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 07/08/2007

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