| NPI | 1275906554 |
|---|---|
| Doing Business As | CHAMPION DISCOUNT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | EDWARD TING Member, LLC 330-219-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2016-11-17 |