Healthcare Provider Details

I. General information

NPI: 1558629998
Provider Name (Legal Business Name): WAYNE HOHWEILER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2012
Last Update Date: 04/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3682 SCENIC AVE
CENTRAL POINT OR
97502-9331
US

IV. Provider business mailing address

3682 SCENIC AVE
CENTRAL POINT OR
97502-9331
US

V. Phone/Fax

Practice location:
  • Phone: 541-665-2180
  • Fax:
Mailing address:
  • Phone: 541-665-2180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number9439
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: