| NPI | 1558904128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EKIERT President 330-318-3926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2022-08-04 |