| NPI | 1457009979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MAXAM Co Owner/Pharmacist 513-218-4891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-04-14 |