Organization
TRI STATE UROLOGIC SERVICES PSC, INC
Active
Other names
The Urology Group
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA RUTER (PHARMACIST)
(513) 841-7492
Entity
Organization
Contact information
Practice address
2000 JOSEPH E SANKER BLVD STE 210, SUITE 210, CINCINNATI, OH 45212-1979
(513) 841-7492
(513) 841-7401
Mailing address
2000 JOSEPH E SANKER BLVD STE 210, SUITE 210, CINCINNATI, OH 45212-1979
(513) 841-7492
(513) 841-7401
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PMY.022816250-0
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175332
PK
—
Enumeration date
01/19/2018
Last updated
01/19/2018
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