NPI | 1578364246 |
---|---|
Doing Business As | DOC'S REMEDY SHOPPE |
Entity Type | Organization |
Authorized Contact | SHANE T DOUGLAS COO 419-720-7883 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2025-03-20 |
Last Update Date | 2025-09-12 |