| NPI | 1487077798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL HYDE Pharmacy Developer 216-831-6466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |