| NPI | 1083038368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS R DELISLE Executive Director 614-293-9806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: OH 03331027-3) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2023-05-18 |