| NPI | 1518170323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM LONGVILLE Chief Accounting Officer 216-636-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: OH 022173000) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2025-01-07 |