| NPI | 1396719076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI L HULL VP, Billing 330-498-8047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OH 8A4736899) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: OH 8A4736899) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2020-04-01 |