| NPI | 1164882890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JOSEPH ROBERTSON Pharmacist 419-727-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03335063) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |