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Individual

DR. JEREMIAH THOMAS HENDRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
460 W 10TH AVE, COLUMBUS, OH 43210
(614) 685-5004
Mailing address
460 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 685-5004

Taxonomy

Speciality
Code
Description
License number
State
208U00000X
Clinical Pharmacology Physician
Primary
03839612
OH
390200000X
Student in an Organized Health Care Education/Training Program
03839612
OH

Other

Enumeration date
06/15/2020
Last updated
08/05/2021
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