| NPI | 1184436065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN HACKER Assistant CFO 419-656-8305 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |