| NPI | 1134889298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL EUGENE JONES Owner 330-286-0226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2022-01-20 |