| NPI | 1225583107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY BOYLE Pharmacy District Manager 234-284-5838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03135868-1) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |