| NPI | 1104277714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE MCDONOUGH Vice President 419-678-3435 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 022625550-03) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |