| NPI | 1508453077 |
|---|---|
| Doing Business As | PROGRESSIVE WELLNESS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HUSSEIN HAIDAR Pharmacist In Charge 419-540-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2021-10-14 |