Provider Demographics
NPI:1649386251
Name:KIRCHNER, TERI J (RPH)
Entity Type:Individual
Prefix:
First Name:TERI
Middle Name:J
Last Name:KIRCHNER
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 1:1944 SILVERLEAF DR
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:KY
Mailing Address - Zip Code:41048-8623
Mailing Address - Country:US
Mailing Address - Phone:513-383-4341
Mailing Address - Fax:
Practice Address - Street 1:6961 CINTAS BLVD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-8923
Practice Address - Country:US
Practice Address - Phone:513-459-8484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-24450183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist