Provider Demographics
NPI:1467629345
Name:KEMMERER, GINNY L (PHARMD)
Entity Type:Individual
Prefix:
First Name:GINNY
Middle Name:L
Last Name:KEMMERER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:669 PLEASANTVILLE RD NW
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:OH
Mailing Address - Zip Code:43105-9744
Mailing Address - Country:US
Mailing Address - Phone:740-862-4002
Mailing Address - Fax:
Practice Address - Street 1:1394 ETY SHOPS WAY NW
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-7768
Practice Address - Country:US
Practice Address - Phone:740-654-5219
Practice Address - Fax:740-654-5502
Is Sole Proprietor?:No
Enumeration Date:2008-05-10
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-285961835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist