| NPI | 1649507815 |
|---|---|
| Doing Business As | SPECIALTY/HOME DELIVERY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TIM LONGVILLE Chief Accounting Officer And Contro 216-312-9502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: OH 02-200335003) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2024-03-19 |