| NPI | 1003212655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD ALAN COURTER VP Primary Care Operations In/Oh 614-794-5053 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2024-08-19 |