| NPI | 1376568972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA LANGWORTHY Pharmacy Licensing Manager 513-698-1878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY45148) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2012-04-26 |