| NPI | 1134503261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN TAYLOR Pharmacist 440-773-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: SC 36009) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: OH 03233550) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |