Individual
DR. JENNA FAIRCLOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3333 BURNET AVE, MLC 15010, CINCINNATI, OH 45229-3026
(513) 803-4767
Mailing address
3333 BURNET AVE, MLC 15010, CINCINNATI, OH 45229-3026
(513) 803-4767
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH. 03232948
OH
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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