| NPI | 1073932588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY SULLIVAN Pharmacy Director 440-954-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy (Licence: OH 022363750) |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2022-07-21 |