NPI | 1053832279 |
---|---|
Entity Type | Organization |
Authorized Contact | ESKENDER GETACHEW Owner 614-854-0300 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: OH 35086201) |
Enumeration Date | 2017-06-28 |
Last Update Date | 2017-06-28 |