| NPI | 1285047175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKSHMI PRASANNA AMRUTHAM Pharmacist 937-274-1530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 03226548) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |