| NPI | 1629146865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAE LEE Pres 614-336-4485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: OH 021428000) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |