Organization
BETHESDA NORTH APOTHECARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD KAES RPH (PHARMACY MANAGER)
(513) 872-3550
Entity
Organization
Contact information
Practice address
10500 MONTGOMERY RD, CINCINNATI, OH 45242
(513) 745-1184
(513) 745-1158
Mailing address
10500 MONTGOMERY RD, CINCINNATI, OH 45242
(513) 745-1184
(513) 745-1158
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
020032100
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020032100
TERMINAL DISTRIBUTER NUM
OH
05
—
2070146
—
OH
01
—
3646366
NCPDP
—
Enumeration date
10/04/2006
Last updated
10/08/2010
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