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Organization

WEDGEWOOD PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRAD PATRICK VAUGHN RPH (OWNER)
(330) 799-2503
Entity
Organization

Contact information

Practice address
4350 NEW RD, AUSTINTOWN, OH 44515-4501
(330) 799-2503
(330) 259-9616
Mailing address
4350 NEW RD, AUSTINTOWN, OH 44515-4501
(330) 799-2503
(330) 259-9616

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0376213
OH
Enumeration date
10/01/2019
Last updated
05/11/2025
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