| NPI | 1104232453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE MARIE ALLEN Owner 513-202-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OH 022432600) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2021-02-01 |