Individual
MR. JAN DALE CASTANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1330 MICHIGAN AVE, WATERVILLE, OH 43566-1011
(419) 878-8384
(419) 878-5820
Mailing address
57 BACK BAY RD, BOWLING GREEN, OH 43402-9742
(419) 823-3055
(419) 823-3055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03124476
OH
183500000X
Pharmacist
15098
MA
Other
Enumeration date
04/24/2011
Last updated
04/24/2011
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