NPI | 1124133160 |
---|---|
Doing Business As | HIGHLAND SQUARE PHARMACY |
Entity Type | Organization |
Authorized Contact | ROD KALBUS President PIC 330-535-3153 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH PMY.020643200-03) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-08-20 |
Last Update Date | 2017-03-14 |