Individual
PROF. JEFFREY HUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
251 N MAIN ST, CEDARVILLE, OH 45314-8501
(937) 766-7486
Mailing address
251 N MAIN ST, CEDARVILLE, OH 45314-8501
(937) 766-7486
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
012310
KY
183500000X
Pharmacist
Primary
03318304
OH
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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