| NPI | 1164591764 |
|---|---|
| Doing Business As | KHN PHARMACY CASSANO |
| Entity Type | Organization |
| Authorized Contact | KEVIN BLACKBURN Director Of Pharmacy 937-458-4932 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: 021374100) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-01-09 |