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Individual

DR. JEREMY ALAN EBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 227-3361
Mailing address
719 AUTUMN DR, APT A, ADA, OH 45810-1824
(419) 569-3942

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03233002
OH

Other

Enumeration date
07/03/2013
Last updated
07/03/2013
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