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Individual

DONALD H. WENTZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R PH

Contact information

Practice address
2005 DRY LANE RD N, LA RUE, OH 43332-9510
(740) 499-3654
(740) 499-3654
Mailing address
2005 DRY LANE RD N, LA RUE, OH 43332-9510
(740) 499-3654
(740) 499-3654

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-3-08714
OH
183500000X
Pharmacist
11031
KY
183500000X
Pharmacist
13366
NC
183500000X
Pharmacist
26017852
IN

Other

Enumeration date
08/21/2006
Last updated
07/08/2007
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