Individual
JEFFREY J CUSTIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9844 WINDISCH RD, WEST CHESTER, OH 45069-3806
(513) 759-2818
Mailing address
3293 LINWOOD AVE, CINCINNATI, OH 45226-1267
(513) 321-8216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03209269
OH
Other
Enumeration date
11/10/2005
Last updated
07/08/2007
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