Sierra D Iddings, PHARMACY INTERN

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Miamisburg, OH

NPI 1205320520 · NPPES record last updated Jun 20, 2018

Key facts

NPI
1205320520
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
10050 Innovation Dr Ste 200
Miamisburg, OH 45342-4935
Phone
(937) 558-3267
NPI assigned
Jun 20, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

10050 Innovation Dr Ste 200
Miamisburg, OH 45342-4935

Mailing address

10050 Innovation Dr Ste 200
Miamisburg, OH 45342-4935
Phone (937) 558-3267

Other providers in Miamisburg, OH

All providers in Miamisburg, OH · Student in an Organized Health Care Education/Training Program in Ohio

Sources for this page

Verify at the official NPI Registry.