| NPI | 1538209580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILLIAM FREY Pharmacist 419-445-4496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 02-0112450) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |