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NPI Code Detail

MEDICARE: DR. BRANDON LUBBERS PHARMD

MEDICARE: DR. BRANDON LUBBERS PHARMD
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
1183500000XPharmacist03328584OH

General Provider Information

NPI Number : 1982981361
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRANDON LUBBERS PHARMD
Provider Business Mailing Address
First Line : 1290 MORTEN ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-2704
Country : US
Telephone Number : 513-490-2600
Fax Number :
Provider Business Practice Location Address
First Line : 4605 MONTGOMERY RD
Second Line :
City : NORWOOD
State : OH
Zip : 45212-2607
Country : US
Telephone Number : 513-731-0062
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2011
Last Update Date : 11/13/2011

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Directions to “ DR. BRANDON LUBBERS PHARMD” Practice Location

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