| NPI | 1053786749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LYNETTE MISKOV Pharmacist 440-452-5731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NV 19193) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |