Organization
BERNENS CONVALESCENT PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARIE ENGELHARDT (OWNER VICE PRESIDENT)
(513) 471-7575
Entity
Organization
Contact information
Practice address
5053 GLENWAY AVE, CINCINNATI, OH 45238-3903
(513) 471-7575
(513) 557-2360
Mailing address
5053 GLENWAY AVE, CINCINNATI, OH 45238-3903
(513) 471-7575
(513) 557-2360
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006037
ANTHEM
—
05
—
0660762
—
OH
Enumeration date
11/21/2005
Last updated
03/26/2018
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