| NPI | 1326145269 |
|---|---|
| Doing Business As | CENTERVILLE LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | THOMAS MOWBRAY President 937-435-5751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: OH 021040500) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-02-03 |