MEDICARE: MS. DAWN M WECHTER RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03-1-13630	OH

General Provider Information

NPI Number	:	1801923537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DAWN M WECHTER RPH

Provider Business Mailing Address
First Line	:	29 CROSS COUNTRY LN
Second Line	:
City	:	SHELBY
State	:	OH
Zip	:	44875-9315
Country	:	US
Telephone Number	:	419-342-3933
Fax Number	:	419-347-2053

Provider Business Practice Location Address
First Line	:	140 MANSFIELD AVE
Second Line	:
City	:	SHELBY
State	:	OH
Zip	:	44875-1833
Country	:	US
Telephone Number	:	419-347-2033
Fax Number	:	419-347-2053

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	07/08/2007

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