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NPI Code Detail

MEDICARE: DR. DANIEL JAMES OHM PHARMD, MBA

MEDICARE: DR. DANIEL JAMES OHM PHARMD, MBA
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
1183500000XPharmacist1-103842KS
2183500000XPharmacist26029506AIN

General Provider Information

NPI Number : 1861157018
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL JAMES OHM PHARMD, MBA
Provider Business Mailing Address
First Line : 4202 S EAST ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-1416
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4202 S EAST ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-1416
Country : US
Telephone Number : 316-737-5029
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2021
Last Update Date : 11/02/2021

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