Individual
TARA NAGARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017
(859) 301-6790
Mailing address
H1112 ROSS HEART HOSPITAL, 452 W. 10TH AVE, COLUMBUS, OH 43210
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03135626
OH
Other
Enumeration date
07/05/2018
Last updated
12/17/2019
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