Organization
CITY OF CINCINNATI
Active
Other names
NORTHSIDE HEALTH CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
QUENTIN NORMAN PHARMD (PHARMACY DIRECTOR)
(513) 352-3801
Entity
Organization
Contact information
Practice address
3917 SPRING GROVE AVE, CINCINNATI, OH 45223-3302
(513) 357-7649
(513) 357-7651
Mailing address
3917 SPRING GROVE AVE, CINCINNATI, OH 45223-3302
(513) 357-7649
(513) 357-7651
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
020294600
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0511735
—
OH
01
—
2074382
PK
—
Enumeration date
11/03/2006
Last updated
02/14/2017
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