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Individual

BRIAN EDWARD WACHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2800 MAHONING AVE, YOUNGSTOWN, OH 44509-2734
(330) 799-7313
Mailing address
280 SLEEPY HOLLOW DR, CANFIELD, OH 44406-1061
(330) 550-2061

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03122584
OH

Other

Enumeration date
07/28/2022
Last updated
07/28/2022
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