| NPI | 1407891625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY HAUBERT Pharmacist 937-274-1546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |