| NPI | 1437615440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAREK MOHAMED Owner/Manager 513-376-5358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-14 |