| NPI | 1255377610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINESH J MARTIS President 513-699-0769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: KY 020887550) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY p07102) |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: KY p07102) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: KY p07102) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2008-06-02 |