Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mark Alan Waltz

Individual provider Pharmacist · NPI 1710242920

Mr. Mark Alan Waltz is a Pharmacist in Toledo, Ohio. Practices as a sole proprietor. Licensed in Michigan and Ohio.

Licensed in
MI, OH
In the registry since
2012
Specialties on file
2

Practice location Address checks out

1012 W Sylvania Ave
Toledo, OH 43612-1702
Phone: (419) 478-8177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 03130070 (OH)
Pharmacist Taxonomy 183500000X · Licence 5302410772 (MI)

Record details

NPI number1710242920
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 13, 2012
Last updated in NPPESJuly 13, 2012
Mailing address545 Lasalle Rd, Monroe, MI 48162-5309

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