MEDICARE: JARED MICHAEL JUSTICE 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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	021532	KY
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	03439616	OH

General Provider Information

NPI Number	:	1851907422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JARED MICHAEL JUSTICE PHARMD

Provider Business Mailing Address
First Line	:	5250 NEWTOWN DR
Second Line	:
City	:	LIBERTY TWP
State	:	OH
Zip	:	45011-1223
Country	:	US
Telephone Number	:	513-867-5420
Fax Number	:	513-867-5421

Provider Business Practice Location Address
First Line	:	5250 NEWTOWN DR
Second Line	:
City	:	LIBERTY TWP
State	:	OH
Zip	:	45011-1223
Country	:	US
Telephone Number	:	513-867-5420
Fax Number	:	513-867-5421

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

Provider Enumeration Date	:	09/19/2020
Last Update Date	:	05/15/2026

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