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Individual

ANDREW BYRNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3230 HARWOOD ST, KETTERING, OH 45429-4217
(937) 256-3111
Mailing address
3230 HARWOOD ST, KETTERING, OH 45429-4217

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03226186
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03226186
OHIO STATE BOARD OF PHARMACY
OH
Enumeration date
04/22/2015
Last updated
04/22/2015
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