Organization
SCHWIETERMAN'S DRUG STORE INC
Active
Other names
SCHWIETERMAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK STEPHEN DOMINIK R.PH. (PRESIDENT)
(419) 629-2336
Entity
Organization
Contact information
Practice address
2 N WASHINGTON ST, NEW BREMEN, OH 45869-1113
(419) 629-2336
(419) 629-3026
Mailing address
2 N WASHINGTON ST, NEW BREMEN, OH 45869-1113
(419) 629-2336
(419) 629-3026
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
020125900
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7890500
—
OH
Enumeration date
07/17/2006
Last updated
05/23/2011
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