| NPI | 1396411849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATIMA ELLIS-OTOO Manager 513-407-2867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2022-01-20 |