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Individual

JAMES BRIAN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2234 BAUER RD STE A, BATAVIA, OH 45103-1996
(513) 732-0356
Mailing address
6736 WOODLAND RESERVE CT, CINCINNATI, OH 45243-2453
(513) 312-8641

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03120401
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03120401
OHIO STATE BOARD OF PHARMACY LICENSE
Enumeration date
12/19/2018
Last updated
12/19/2018
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