Provider Demographics
NPI:1760764526
Name:WEINTZ, DONALD GEORGE JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:GEORGE
Last Name:WEINTZ
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 W US 22 AND 3
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-9774
Mailing Address - Country:US
Mailing Address - Phone:513-774-0302
Mailing Address - Fax:
Practice Address - Street 1:68 W US 22 AND 3
Practice Address - Street 2:
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039-9774
Practice Address - Country:US
Practice Address - Phone:513-774-0302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03122680183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist