| NPI | 1285125161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATE THOMPSON Manager 614-388-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OH 0232000003) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2018-05-25 |