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NPI Code Detail

MEDICARE: AUTUMN RENAE PATRIZIO

MEDICARE: AUTUMN RENAE PATRIZIO
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
1183500000XPharmacist03440005OH

General Provider Information

NPI Number : 1932038353
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUTUMN RENAE PATRIZIO
Provider Business Mailing Address
First Line : 9600 EL CAMINO LN
Second Line :
City : PLAIN CITY
State : OH
Zip : 43064-8002
Country : US
Telephone Number : 330-720-6911
Fax Number :
Provider Business Practice Location Address
First Line : 205 E PALMER RD
Second Line :
City : BELLEFONTAINE
State : OH
Zip : 43311-2298
Country : US
Telephone Number : 937-592-4015
Fax Number : 937-651-6839
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2026
Last Update Date : 05/14/2026

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Directions to “ AUTUMN RENAE PATRIZIO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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