| NPI | 1275567901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA LANGWORTHY Manager Of Pharmacy Credentialing 513-698-1878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN C1769) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2014-04-07 |