MEDICARE: SCHWIETERMAN'S DRUG STORE INC

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	3336C0003X	Community/Retail Pharmacy	02-385050	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174630461
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHWIETERMAN'S DRUG STORE INC

Provider Business Mailing Address
First Line	:	1302 DEFIANCE ST
Second Line	:
City	:	WAPAKONETA
State	:	OH
Zip	:	45895-1081
Country	:	US
Telephone Number	:	419-738-5959
Fax Number	:	419-738-3019

Provider Business Practice Location Address
First Line	:	1302 DEFIANCE ST
Second Line	:
City	:	WAPAKONETA
State	:	OH
Zip	:	45895-1081
Country	:	US
Telephone Number	:	419-738-5959
Fax Number	:	419-738-3019

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MARK STEPHEN DOMINIK
Credential	:	R.PH.
Telephone Number	:	419-629-2336

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	05/23/2011

Similar Medicare Providers

1043212061 — MS. CATHLEEN IRENE GARMAN R.PH
Practice Location Address:

1302 DEFIANCE ST
WAPAKONETA, OH
45895-1081

Practice Phone: 419-738-5959
Practice Fax:

1992798565 — STEVEN LEWIS DAVIS RPH
Practice Location Address:

1302 DEFIANCE ST
WAPAKONETA, OH
45895-1081

Practice Phone: 419-738-5958
Practice Fax: 419-738-3019

1811027279 — STEPHANIE VALERIE BISHOP R. PH. , PHARM D
Practice Location Address:

1302 DEFIANCE ST
WAPAKONETA, OH
45895-1081

Practice Phone: 419-738-5959
Practice Fax:

1609706324 — ALISHA MARIE KRETZER
Practice Location Address:

19036 WAPAKONETA CRIDERSVLE RD
WAPAKONETA, OH
45895-7638

Practice Phone: 567-242-4755
Practice Fax:

1053316489 — SUSAN M KAUFMAN D.O
Practice Location Address:

1251 LINCOLN HWY , SUITE 1
WAPAKONETA, OH
45895-7356

Practice Phone: 419-738-5151
Practice Fax: 419-941-1092

1053301614 — DR. PARMIE A HERMAN M.D.
Practice Location Address:

1007 W AUGLAIZE ST
WAPAKONETA, OH
45895-1351

Practice Phone: 419-738-9601
Practice Fax: 419-941-1368

Directions to “SCHWIETERMAN'S DRUG STORE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.