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 |