Healthcare Provider Details

I. General information

NPI: 1700918141
Provider Name (Legal Business Name): WSW. INC. DBA DANNER'S DRUG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 W MAIN ST
LOUDONVILLE OH
44842-1134
US

IV. Provider business mailing address

202 W MAIN ST
LOUDONVILLE OH
44842-1134
US

V. Phone/Fax

Practice location:
  • Phone: 419-994-3221
  • Fax: 419-994-4040
Mailing address:
  • Phone: 419-994-3221
  • Fax: 419-994-4040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number StateOH

VIII. Authorized Official

Name: MR. ROGER BICKHART
Title or Position: PRESIDENT
Credential: RPH
Phone: 419-994-3221