Individual
TRACE AARON POORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 JEFFERSON ST, GREENFIELD, OH 45123-1364
(937) 981-7133
(937) 981-0563
Mailing address
109 JEFFERSON ST, GREENFIELD, OH 45123-1364
(937) 981-7133
(937) 981-0563
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
09214936
OH
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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