MEDICARE: KATHLEEN MCCLURE 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
1	183500000X	Pharmacist	03221181	OH

General Provider Information

NPI Number	:	1871020016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN MCCLURE RPH

Provider Business Mailing Address
First Line	:	7074 VIOLET VEIL CT
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-8304
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12116 SYCAMORE TRCE
Second Line	:
City	:	PLAIN CITY
State	:	OH
Zip	:	43064-4400
Country	:	US
Telephone Number	:	614-504-4125
Fax Number	:	614-504-0669

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

Provider Enumeration Date	:	05/18/2017
Last Update Date	:	06/06/2026

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