Individual
JEFFREY MICHAEL RABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1430 COLUMBUS AVE, FCMH COUMADIN CLINIC, WASHINGTON COURT HOUSE, OH 43160-1703
(740) 333-2923
Mailing address
1430 COLUMBUS AVE, FCMH COUMADIN CLINIC, WASHINGTON COURT HOUSE, OH 43160-1703
(740) 333-2923
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03333973
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-333973
OHIO STATE BOARD OF PHARMACY
OH
Enumeration date
12/01/2016
Last updated
12/01/2016
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