| NPI | 1417935297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNIE CRAFT Managing Member 614-573-1557 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OH RTP02244525003) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2020-03-12 |