MEDICARE: LORI SHINTON

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	03225205	OH

General Provider Information

NPI Number	:	1942692231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI SHINTON

Provider Business Mailing Address
First Line	:	5420 LIBERY FAIRFIELD RD
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45011-2680
Country	:	US
Telephone Number	:	513-785-7920
Fax Number	:	513-785-7921

Provider Business Practice Location Address
First Line	:	5420 LIBERY FAIRFIELD RD
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45011-2680
Country	:	US
Telephone Number	:	513-785-7920
Fax Number	:	513-785-7921

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

Provider Enumeration Date	:	02/24/2015
Last Update Date	:	02/24/2015

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Directions to “ LORI SHINTON ” Practice Location

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