| NPI | 1235251802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARD KELLY Owner And R Ph 937-325-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 02009935002049) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-07-30 |