| |
11300 Cornell Park Dr, 5th Floor, Blue Ash, OH 45242 | |
(513) 737-1060 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Pharmacy - Community/retail Pharmacy |
Location | 11300 Cornell Park Dr, Blue Ash, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306268925 | NPI | - | NPPES |
2143868 | Other | PK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
3336C0003X | Pharmacy - Community/retail Pharmacy | 022221850 (Ohio) | Primary |
Mailing Address | Practice Location Address |
---|---|
1014 Vine St, Cincinnati, OH 45202-1141 Ph: (513) 762-1090 | 11300 Cornell Park Dr, 5th Floor, Blue Ash, OH 45242 Ph: (513) 737-1060 |