| NPI | 1174210769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON KEYS Pharmacy Site Manager 614-566-2927 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-24 |