| NPI | 1013146950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL S WILLIAMS Member 614-214-0128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: OH 021988950) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: OH 021988950-12) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2014-04-14 |