Individual
JAN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1761 BEALL AVE, WOOSTER, OH 44691-2342
(330) 202-5570
(330) 202-5574
Mailing address
1761 BEALL AVE, WOOSTER, OH 44691-2342
(330) 202-5570
(330) 202-5574
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03321842
OH
Other
Enumeration date
11/16/2019
Last updated
11/16/2019
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