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Individual

MR. BRENT ANTHONY HOMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
32 N LUDLOW ST, DAYTON, OH 45402-1826
(937) 269-4592
Mailing address
117 CARDINAL ST, NEW BREMEN, OH 45869-1042
(937) 269-4592
(401) 406-3522

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03226182
OH

Other

Enumeration date
11/17/2020
Last updated
11/17/2020
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