Provider Demographics
NPI:1891399044
Name:METZ, JEFFREY GERARD (RPH)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:GERARD
Last Name:METZ
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 STRATHCOMA DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-4517
Mailing Address - Country:US
Mailing Address - Phone:513-703-1216
Mailing Address - Fax:
Practice Address - Street 1:7500 BEECHMONT AVE # 6123
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-4206
Practice Address - Country:US
Practice Address - Phone:513-231-4592
Practice Address - Fax:513-231-0623
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-29
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03314283183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist