Mr William Wayne Herzog, RPH is a
Pharmacist based in Fauirfield, Ohio. Mr William Wayne Herzog is licensed to practice in Ohio (license number 03-3-11683) and his current practice location is
5502 Dixie Hwy, Fauirfield, Ohio. He can be reached at his office (for appointments etc.) via phone at
(513) 874-5868.
NPI number for Mr William Wayne Herzog is 1104815257 and his current mailing address is 5502 Dixie Hwy, Fairfield, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104815257.
Healthcare Provider's Profile
| Full Name | Mr William Wayne Herzog |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 5502 Dixie Hwy, Fauirfield, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104815257
- Provider Enumeration Date: 10/20/2005
- Last Update Date: 02/08/2017
Medical Identifiers
Medical identifiers for Mr William Wayne Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104815257 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 03-3-11683 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr William Wayne Herzog is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr William Wayne Herzog, RPH
5502 Dixie Hwy,
Fairfield, OH 45014
Ph: (513) 874-5868 | Mr William Wayne Herzog, RPH
5502 Dixie Hwy,
Fauirfield, OH 45014
Ph: (513) 874-5868 |
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