# WEDGEWOOD PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750148128
- **Authorized official:** BRAD PATRICK VAUGHN RPH (OWNER)
- **Authorized official phone:** (330) 799-2503

## Contact information

- **Practice address:** 4350 NEW RD, AUSTINTOWN, OH 44515-4501
- **Practice address phone:** (330) 799-2503
- **Practice address fax:** (330) 259-9616
- **Mailing address:** 4350 NEW RD, AUSTINTOWN, OH 44515-4501
- **Mailing address phone:** (330) 799-2503
- **Mailing address fax:** (330) 259-9616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/04/2024
- **Last updated:** 05/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0376213 | — | OH |