Organization
KEVREN INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN K. BERRY RPH (PHARMACIST/OWNER)
(513) 424-8180
Entity
Organization
Contact information
Practice address
1971 CENTRAL AVENUE, MIDDLETOWN, OH 45044
(513) 424-8180
(513) 424-6672
Mailing address
1971 CENTRAL AVENUE, MIDDLETOWN, OH 45044
(513) 424-8180
(513) 424-6672
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
020440800
OH
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0608462
—
OH
05
—
0808462
—
OH
01
—
3644780
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/03/2006
Last updated
03/07/2023
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