Brian Edward Wacht
Organization Active NPI Pharmacist · Austintown, OH
NPI 1134520448 · NPPES record last updated Sep 7, 2014
Key facts
- NPI
- 1134520448
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- 03122584 (OH)
- Legal business name
- BRIAN EDWARD WACHT
- Practice address
- 4475 Mahoning Ave
Austintown, OH 44515-1602 - Phone
- (330) 793-2429
- NPI assigned
- Sep 7, 2014
- Organization subpart
- No
Authorized official
- Name
- Brian Edward Wacht, RPH
- Title
- Pharmacist
- Phone
- (330) 550-2061
National Provider Directory
Locations
4475 Mahoning Ave
Youngstown, OH 44515
Phone (330) 793-2429
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 03122584 | OH | Yes |
Addresses
Primary practice location
4475 Mahoning Ave
Austintown, OH 44515-1602
Mailing address
111 Woodland Run
Canfield, OH 44406-8705
Phone (330) 550-2061
Other providers in Austintown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.