Individual
CHRISTINE VANDEWEEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6067 N RIDGE RD, MADISON, OH 44057-2441
(440) 417-0373
Mailing address
4807 LAKE RD W, ASHTABULA, OH 44004-2064
(440) 487-7335
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-3-18247
OH
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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