| NPI | 1295847762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK EUGENE BURKS Pharmicist 614-237-7677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 02113300) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-04-01 |