| NPI | 1194268136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MOYLER Owner 614-252-8637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: OH 36.002890) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |