NPI | 1053487694 |
---|---|
Doing Business As | CUB PHARMACY 609 |
Entity Type | Organization |
Authorized Contact | MIKE LOFINO President 937-431-1662 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH RTP020941000) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2006-11-27 |
Last Update Date | 2012-04-25 |