| NPI | 1518968668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SLOAN Pharmacy Manager 614-868-1685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OH RTP020113350) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2016-03-03 |