| NPI | 1205327095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE D PORTER CFO 216-281-8945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |