Organization
SCHWIETERMAN'S DRUG STORE INC
Active
Other names
SCHWIETERMAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK STEPHEN DOMINIK R.PH. (PRESIDENT)
(419) 629-2336
Entity
Organization
Contact information
Practice address
1302 DEFIANCE ST, WAPAKONETA, OH 45895-1081
(419) 738-5959
(419) 738-3019
Mailing address
1302 DEFIANCE ST, WAPAKONETA, OH 45895-1081
(419) 738-5959
(419) 738-3019
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
02-385050
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0569880
—
OH
Enumeration date
08/24/2006
Last updated
05/23/2011
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