Individual
DAN NIEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
926 HIGHLAND AVE, FORT THOMAS, KY 41075-1707
(859) 441-4519
Mailing address
926 HIGHLAND AVE, FORT THOMAS, KY 41075-1707
(859) 441-4519
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010104
KY
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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