| NPI | 1245389949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT ALLEN DOBBINS Owner 937-399-8531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OH 02-0181950) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 069470001) |
| 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: OH 020181950) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2021-01-20 |