# WEYRAUCH'S PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Weyrauch's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972506582
- **Authorized official:** JOHN A WEYRAUCH RPH (MANAGING MEMBER)
- **Authorized official phone:** (330) 857-0115

## Contact information

- **Practice address:** 4959 KIDRON RD, KIDRON, OH 44636-0231
- **Practice address phone:** (330) 857-0115
- **Practice address fax:** (330) 857-1731
- **Mailing address:** 4959 KIDRON RD, PO BOX 231, KIDRON, OH 44636-0231
- **Mailing address phone:** (330) 857-0115
- **Mailing address fax:** (330) 857-1731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 02-0585000 | OH | Yes |

## Other

- **Enumeration date:** 05/27/2005
- **Last updated:** 05/11/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0737144 | — | OH |
| 01 | — | 3652270 | NCPDP NUMBER | — |