Provider Demographics
NPI:1568854883
Name:HARTNESS, CARY BETH (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CARY
Middle Name:BETH
Last Name:HARTNESS
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 1:2120 BEECHMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-1621
Mailing Address - Country:US
Mailing Address - Phone:513-232-4474
Mailing Address - Fax:513-231-3965
Practice Address - Street 1:2120 BEECHMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-1621
Practice Address - Country:US
Practice Address - Phone:513-232-4474
Practice Address - Fax:513-231-3965
Is Sole Proprietor?:No
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03222887183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist