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Organization
SCHWIETERMANS VILLAGE
Active
Organization
SCHWIETERMANS VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARLYN K LAUER RPL (PHARMACY MANAGER)
(419) 645-4009
Entity
Organization
Contact information
Practice address
200 W MAIN ST, CRIDERSVILLE, OH 45806
(419) 645-4009
(419) 645-4669
Mailing address
200 W MAIN ST, CRIDERSVILLE, OH 45806
(419) 645-4009
(419) 645-4669
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
B59590236
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2618895
—
OH
Enumeration date
09/01/2006
Last updated
08/22/2020
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