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NPI Code Detail

MEDICARE: ELMWOOD PLACE PHARMACY INC.

MEDICARE: ELMWOOD PLACE PHARMACY INC.
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
1183500000XPharmacistOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942385661
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELMWOOD PLACE PHARMACY INC.
Provider Business Mailing Address
First Line : 5275 WINNESTE AVE
Second Line : SUITE A
City : CINCINNATI
State : OH
Zip : 45232-1130
Country : US
Telephone Number : 513-242-5700
Fax Number : 513-482-5461
Provider Business Practice Location Address
First Line : 5275 WINNESTE AVE
Second Line : SUITE A
City : CINCINNATI
State : OH
Zip : 45232-1130
Country : US
Telephone Number : 513-242-5700
Fax Number : 513-482-5461
Authorized Official
Title or Position : REGISTERED PHARMACIST
Name : MR. DOUGLAS F THEURING
Credential : RPH
Telephone Number : 513-242-5700
Provider Enumeration Date : 10/25/2006
Last Update Date : 08/22/2020

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Directions to “ELMWOOD PLACE PHARMACY INC. ” Practice Location

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