| NPI | 1043641020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON BREDESTEGE Pharmacy Licensing Manager 513-762-1019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2018-04-23 |