| NPI | 1538587720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM LONGVILLE Chief Accounting Officer 216-636-7416 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 022401650) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2025-01-09 |