| NPI | 1407031925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI JO SPONSLER Sole Owner,Rph 419-365-5202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 02-1566000) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2010-04-08 |