Provider Demographics
NPI:1790726206
Name:JEFF'S FAMILY PHARMACY
Entity Type:Organization
Organization Name:JEFF'S FAMILY PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:P
Authorized Official - Last Name:BUTCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-899-4074
Mailing Address - Street 1:101 W PIKE ST
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:OH
Mailing Address - Zip Code:45152-1107
Mailing Address - Country:US
Mailing Address - Phone:513-899-4074
Mailing Address - Fax:513-899-3783
Practice Address - Street 1:101 W PIKE ST
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:OH
Practice Address - Zip Code:45152-1107
Practice Address - Country:US
Practice Address - Phone:513-899-4074
Practice Address - Fax:513-899-3783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy