| NPI | 1568568913 |
|---|---|
| Doing Business As | LUTHER HAVEN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JONATHAN D KUKULSKI Corporate Secretary 513-719-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WI 032006914) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: WI 032006914) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2014-09-15 |