| NPI | 1306018924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE R BRADEN Vice Oresident / Owner 740-732-7201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: OH 02637850) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |