| NPI | 1164197737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE LOFTUS PIC/Pharmacy Director 740-988-6382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2021-08-15 |
| Last Update Date | 2021-08-15 |