Individual
DR. ANDREA HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 N MAIN ST STE 290, DAYTON, OH 45402-3727
(937) 499-5131
Mailing address
218 RUBICON RD, OAKWOOD, OH 45409-2242
(937) 974-2857
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-3-25911
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-3-25911
OSBOP PHARMACIST LICENSE NUMBER
OH
01
—
150890
NABP CPE E-PROFILE ID
—
Enumeration date
02/22/2018
Last updated
02/22/2018
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