Individual
BRENDAN DIMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 MEADOW PARK AVE, LEWIS CENTER, OH 43035-9476
(740) 888-8462
Mailing address
55 MEADOW PARK AVE, LEWIS CENTER, OH 43035-9476
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03131774
OH
183500000X
Pharmacist
RP446672
PA
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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