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NPI Code Detail

MEDICARE: MRS. NANCY ROBERTA STAMBOUGH RPH

MEDICARE:  MRS. NANCY ROBERTA STAMBOUGH  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
1183500000XPharmacist03-2-16681OH

General Provider Information

NPI Number : 1871711952
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANCY ROBERTA STAMBOUGH RPH
Provider Business Mailing Address
First Line : 6517 MADEIRA HILLS DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-3123
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7023 MIAMI AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-2636
Country : US
Telephone Number : 513-561-7700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. NANCY ROBERTA STAMBOUGH RPH” Practice Location

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