Individual
JEREMY CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4890 N HIGH ST, COLUMBUS, OH 43214-1552
(614) 261-9013
Mailing address
4890 N HIGH ST, COLUMBUS, OH 43214-1552
(614) 261-9013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03234087
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03234087
OHIO STATE BOARD OF PHARMACY
OH
Enumeration date
08/18/2014
Last updated
08/18/2014
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