Provider Demographics
NPI:1043815327
Name:BIEDENHARN, AMY BETH (RPH)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:BETH
Last Name:BIEDENHARN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10160 INTERNATIONAL BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45246-4846
Mailing Address - Country:US
Mailing Address - Phone:513-860-1573
Mailing Address - Fax:513-860-2436
Practice Address - Street 1:10160 INTERNATIONAL BLVD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45246-4846
Practice Address - Country:US
Practice Address - Phone:513-860-1573
Practice Address - Fax:513-860-2436
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03320692183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist