| NPI | 1013913458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY SHEEHAN Credentialing Specialist 513-530-7206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY54648) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 333600000X Pharmacy | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2024-12-16 |