| NPI | 1366980500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY NICE Owner 440-585-5258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: OH 35036891) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |