| NPI | 1215340468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHARI MARTIN Pharmacy District Manager 937-256-7952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 03232648) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |