Individual
JOHN CHARLES KAMENIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1060 ASHLAND RD, MANSFIELD, OH 44905-2157
(419) 589-3693
Mailing address
1060 ASHLAND RD, MANSFIELD, OH 44905-2157
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03328889
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952335663
NPI
—
05
—
POC5TMH4
—
OH
Enumeration date
08/23/2017
Last updated
03/07/2023
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