| NPI | 1215220611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GRBCICH Director 330-526-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OH 022124650) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |