| NPI | 1164304978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC B. BLAKE Chief Compliance Officer 740-452-7685 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2025-08-27 |