| NPI | 1417496621 |
|---|---|
| Doing Business As | MED MART PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MAHMOUD RIFAI Owner, Pharmacist 937-389-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OH 02266485003) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-03-23 |