| NPI | 1043619604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON MARK DOPPELHEUER Director Pharmacy Business 216-778-8880 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OH 022442650) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2025-08-12 |