| NPI | 1376954354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHARI EVANS Pharmacy District Manager 937-694-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OH 03223261-2) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |