| NPI | 1578700399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN SUE FARRIS Secretary Treasurer 419-587-3349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 02434900) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: OH 02434900) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: OH 02434900) | |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-21 |