Individual
ALLISON JAYNE BAVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 861-3100
Mailing address
3802 ENCLAVE AVE APT 9, CINCINNATI, OH 45241-2990
(513) 484-2285
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03338140
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03338140
OHIO BOARD OF PHARMACY
OH
Enumeration date
04/26/2019
Last updated
04/26/2019
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