| NPI | 1013219096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIEU OKULEY Pharmacist/Owner 419-596-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH RTP022089450) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2010-11-24 |