| NPI | 1649386616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON BREDESTEGE Manager Pharmacy Licensing 513-762-1019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 06492) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 06492) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2023-03-07 |