Organization
SCHWIETERMANS DRUG STORE INC
Active
Other names
Schwieterman Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID J MCDONOUGH RPH (OWNER)
(419) 678-3435
Entity
Organization
Contact information
Practice address
404 W NORTH ST, COLDWATER, OH 45828-1230
(419) 678-3435
(419) 678-8511
Mailing address
404 W NORTH ST, COLDWATER, OH 45828-1230
(419) 678-3435
(419) 678-8511
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
020165150
OH
3336C0003X
Community/Retail Pharmacy
020165150
OH
3336L0003X
Long Term Care Pharmacy
020165150
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0494219
—
OH
Enumeration date
08/09/2006
Last updated
06/20/2011
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