Organization
SCHWIETERMANS DRUG STORE INC
Active
Other names
SCHWIETERMAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DOMINIK (PRES)
(419) 629-2336
Entity
Organization
Contact information
Practice address
324 N MAIN ST, MINSTER, OH 45865-9560
(419) 628-2305
(419) 628-2119
Mailing address
324 N MAIN ST, MINSTER, OH 45865-9560
(419) 628-2305
(419) 628-2119
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
02598000
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0847203
—
OH
01
—
2072067
PK
—
Enumeration date
07/19/2006
Last updated
12/09/2016
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