| NPI | 1033658059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHUMATE Rdo Psi 440-724-7134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: OH 022667050) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-04-05 |