Individual
DR. DEWAYNE PURTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4530 KENNY RD, COLUMBUS, OH 43220-3509
(614) 326-0689
(614) 326-0718
Mailing address
4530 KENNY RD, COLUMBUS, OH 43220-3509
(614) 326-0689
(614) 326-0718
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03334797
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2621309
—
OH
Enumeration date
06/15/2020
Last updated
06/15/2020
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