| NPI | 1063726917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD PATRICK WILEY Owner 740-382-5746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OH 021878900) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |