| NPI | 1306138334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN BRIAN WEEKS Pharmacist 937-374-0899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OH 022112050) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2011-05-10 |