NPI | 1023431459 |
---|---|
Entity Type | Organization |
Authorized Contact | DAN L WERTENBERGER Executive Director 419-525-2555 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2014-01-21 |
Last Update Date | 2014-01-21 |