NPI | 1205847860 |
---|---|
Doing Business As | MEDI MART PHARMACY |
Entity Type | Organization |
Authorized Contact | RAYMOND FANKELL Owner/Pharmacist 740-354-3291 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH RTP.020589200-02) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-08-10 |
Last Update Date | 2014-08-01 |