| NPI | 1184907115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LEE BAUMGARTNER Owner 419-287-3238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OH 022122100) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |