Brian Edward Wacht

NPI #1134520448 in Austintown, Ohio

Provider Information

NPI Number: 1134520448
Entity Type: Organization
Organization Name: Brian Edward Wacht
Primary Specialty: Pharmacist
Enumeration Date: Sep 7, 2014
Last Updated: Sep 7, 2014

Practice Location

Address: 4475 MAHONING AVE
City: Austintown
State: Ohio
ZIP Code: 44515-1602
Phone: (330) 793-2429

Authorized Official

Name: BRIAN EDWARD WACHT, RPH
Title: PHARMACIST
Phone: (330) 550-2061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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