Organization
CITY OF CINCINNATI
Active
Other names
BRAXTON CANN MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
QUENTIN NORMAN PHARMD (DIRECTOR OF PHARMACY)
(513) 352-3801
Entity
Organization
Contact information
Practice address
5818 MADISON RD, CINCINNATI, OH 45227-1708
(513) 263-8760
(513) 263-8787
Mailing address
5818 MADISON RD, CINCINNATI, OH 45227-1708
(513) 263-8760
(513) 263-8787
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
020253100
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0274966
—
OH
01
—
2074381
PK
—
Enumeration date
10/25/2006
Last updated
02/14/2017
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