| NPI | 1447261086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD VAUGHN Pharmacist 330-372-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 021592700) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2009-01-26 |