Provider Demographics
NPI:1598047516
Name:KNIGHT, TRICIA (PHARMACIST RPH)
Entity Type:Individual
Prefix:
First Name:TRICIA
Middle Name:
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:PHARMACIST RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4504 PICKET CT
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-2809
Mailing Address - Country:US
Mailing Address - Phone:513-398-3490
Mailing Address - Fax:
Practice Address - Street 1:8060 S MASON MONTGOMERY RD # RC
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9597
Practice Address - Country:US
Practice Address - Phone:513-770-5587
Practice Address - Fax:513-770-0657
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03223679183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist