| NPI | 1508963448 |
|---|---|
| Doing Business As | WHITACRE PHARMACY #1 |
| Entity Type | Organization |
| Authorized Contact | FRANK FUSCHINO Owner/PIC/AO 937-390-1973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH PMY020721900) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-06-05 |