| NPI | 1134667330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT BRAGG Pharmacist 330-519-4644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 03334519) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |