Organization
BRIAN EDWARD WACHT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN EDWARD WACHT RPH (PHARMACIST)
(330) 550-2061
Entity
Organization
Contact information
Practice address
4475 MAHONING AVE, AUSTINTOWN, OH 44515-1602
(330) 793-2429
Mailing address
111 WOODLAND RUN, CANFIELD, OH 44406-8705
(330) 550-2061
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03122584
OH
Other
Enumeration date
09/07/2014
Last updated
09/07/2014
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