| NPI | 1124304092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN COLER Manager 740-452-7685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OH 022171250) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: OH 022171250) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2020-04-02 |