| NPI | 1255883484 |
|---|---|
| Doing Business As | HAWTHORNE PHARMACY, LLC |
| Entity Type | Organization |
| Authorized Contact | PATRICK CARUSO PIC/Managing Member 513-299-7967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH RTP.022648650-0) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2017-02-15 |