NPI | 1265595888 |
---|---|
Doing Business As | WALT CHURCHILL'S MARKET |
Entity Type | Organization |
Authorized Contact | KIMBERLY JOHNSON Pharmacy Manager,PIC,AO 419-872-6904 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OH 021949950) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-12-18 |
Last Update Date | 2017-01-18 |