| NPI | 1497111272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL FOSSACECA Owner 330-469-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: OH pmy.022590050-0) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2017-03-08 |