Healthcare Provider Details

I. General information

NPI: 1265057210
Provider Name (Legal Business Name): RAYMOND SCHWENDENMANN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2020
Last Update Date: 06/15/2020
Certification Date: 06/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 W MAIN ST
WILLIAMSBURG OH
45176-1309
US

IV. Provider business mailing address

305 W MAIN ST
WILLIAMSBURG OH
45176-1309
US

V. Phone/Fax

Practice location:
  • Phone: 513-724-7081
  • Fax: 513-724-3979
Mailing address:
  • Phone: 513-724-7081
  • Fax: 513-724-3979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03331211
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: