| NPI | 1457862088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY KAY RENTSCH Administrator 330-936-2068 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 02276400) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |