NPI | 1154478105 |
---|---|
Doing Business As | CUSTER PHARMACY |
Entity Type | Organization |
Authorized Contact | JASON ALEXANDER BACKEL Owner 740-942-2726 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 02-1249300) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2012-04-10 |