| NPI | 1104129667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREN S MOWBRAY Owner 937-478-1485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2025-11-13 |