| 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 |