# KEVREN INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicine Shoppe
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760576177
- **Authorized official:** MR. KEVIN K. BERRY RPH (PHARMACIST/OWNER)
- **Authorized official phone:** (513) 424-8180

## Contact information

- **Practice address:** 1971 CENTRAL AVENUE, MIDDLETOWN, OH 45044
- **Practice address phone:** (513) 424-8180
- **Practice address fax:** (513) 424-6672
- **Mailing address:** 1971 CENTRAL AVENUE, MIDDLETOWN, OH 45044
- **Mailing address phone:** (513) 424-8180
- **Mailing address fax:** (513) 424-6672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 020440800 | OH | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0608462 | — | OH |
| 05 | — | 0808462 | — | OH |
| 01 | — | 3644780 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |