# SCHWIETERMAN'S DRUG STORE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SCHWIETERMAN PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619994357
- **Authorized official:** MR. MARK STEPHEN DOMINIK R.PH. (PRESIDENT)
- **Authorized official phone:** (419) 629-2336

## Contact information

- **Practice address:** 2 N WASHINGTON ST, NEW BREMEN, OH 45869-1113
- **Practice address phone:** (419) 629-2336
- **Practice address fax:** (419) 629-3026
- **Mailing address:** 2 N WASHINGTON ST, NEW BREMEN, OH 45869-1113
- **Mailing address phone:** (419) 629-2336
- **Mailing address fax:** (419) 629-3026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 020125900 | OH | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 05/23/2011
