Provider Demographics
NPI:1265057210
Name:SCHWENDENMANN, RAYMOND (PHARMD)
Entity type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:
Last Name:SCHWENDENMANN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45176-1309
Mailing Address - Country:US
Mailing Address - Phone:513-724-7081
Mailing Address - Fax:513-724-3979
Practice Address - Street 1:305 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:OH
Practice Address - Zip Code:45176-1309
Practice Address - Country:US
Practice Address - Phone:513-724-7081
Practice Address - Fax:513-724-3979
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-15
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03331211183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist