Organization
CHILDREN'S HOSPITAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL TACKETT (ANALYST II / APPL)
(513) 636-8175
Entity
Organization
Contact information
Practice address
5642 HAMILTON AVE, CINCINNATI, OH 45224-3114
(513) 636-0996
(513) 636-0995
Mailing address
3333 BURNET AVE # MLC1011, CINCINNATI, OH 45229-3026
(513) 636-8808
(513) 636-5876
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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