Individual
JAY C PAELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6385 BRANCH HILL-GUINEA PIKE, LOVELAND, OH 45140
(513) 697-6574
(513) 697-1524
Mailing address
6385 BRANCH HILL-GUINEA PIKE, LOVELAND, OH 45140
(513) 697-6574
(513) 697-1524
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03318313
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033183313
OHIO STATE BOARD OF PHARMACY
OH
01
—
RU166406
STATE OF OHIO DRIVERS LICENSE
OH
Enumeration date
10/14/2011
Last updated
10/14/2011
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