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NPI Code Detail

MEDICARE: ERIN DAVENPORT

MEDICARE: ERIN DAVENPORT
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
1183500000XPharmacist03337585OH

General Provider Information

NPI Number : 1912538018
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN DAVENPORT
Provider Business Mailing Address
First Line : 5700 SIGNAL POINTE DR APT 128
Second Line :
City : CINCINNATI
State : OH
Zip : 45247-3295
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5910 HARRISON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45248-1606
Country : US
Telephone Number : 513-370-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2020
Last Update Date : 01/28/2020

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Directions to “ ERIN DAVENPORT ” Practice Location

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