| NPI | 1043691009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA LANGWORTHY Manager Of Pharmacy Credentialing 513-698-1878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TN 39228) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |