| NPI | 1033122353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES STALEY President 740-532-7943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OH 020110950) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |