| NPI | 1497829923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BALE Assoc Dean 937-775-3182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: OH 020291500) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2009-12-19 |