MR. Kenneth Marshall Overholt JR., RPH

NPI #1013122316 in Warren, Ohio

Provider Information

NPI Number: 1013122316
Entity Type: Individual
Name: MR. Kenneth Marshall Overholt JR., RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: May 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4619 MAHONING AVE NW
City: Warren
State: Ohio
ZIP Code: 44483-1418
Phone: (330) 847-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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