| NPI | 1194882084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS DON NEWSOM Chief Executive Officer 419-473-1493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2023-03-07 |