| NPI | 1376660746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MATISI Owner 330-755-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 020149950) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2017-01-18 |