| NPI | 1336712884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD JACKSON Pharmacist In Charge 614-562-9101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2024-02-06 |