| NPI | 1578967782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MEDVE Director 216-973-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy (Licence: OH CPO.022423950) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2022-01-06 |