Brian Edward Wacht
Pharmacist in Austintown, OH. Organization (NPI-2).
NPI number1134520448
StatusActive
Last updated in NPPESSep 7, 2014
Details
- NPI
- 1134520448
- Entity type
- Organization (NPI-2)
- Legal business name
- Brian Edward Wacht
- Organization subpart
- No
- Enumeration date
- Sep 7, 2014
- Last updated
- Sep 7, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 03122584 | OH | Yes |
Practice location
4475 Mahoning AveAustintown, OH 44515-1602
Phone 330-793-2429
Mailing address
111 Woodland RunCanfield, OH 44406-8705
Phone 330-550-2061
Authorized official
Brian Edward Wacht
Pharmacist
3305502061
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