NPI | 1043225683 |
---|---|
Doing Business As | KHN PHARMACY BEAVERCREEK |
Entity Type | Organization |
Authorized Contact | KEVIN BLACKBURN Director Of Pharmacy 937-458-4932 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH PMY.021561900-03) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-07-30 |
Last Update Date | 2020-01-09 |