Individual
DR. BRIAN DOUGLAS THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
592 W PLANE ST, BETHEL, OH 45106-9568
(513) 734-6242
(513) 734-1789
Mailing address
592 W PLANE ST, BETHEL, OH 45106-9568
(513) 734-6242
(513) 734-1789
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03328891
OH
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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