| NPI | 1336263029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON HAAS Ohiomhas Ops Chief 614-752-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy (Licence: OH 020171800) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-21 |