| NPI | 1508577115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PATRICK MCCARRELL President, Chief Operating Officer 740-816-2499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2022-12-06 |