NPI | 1659471654 |
---|---|
Entity Type | Organization |
Authorized Contact | BARRY EDWARD KLEIN President 330-928-3720 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OH 02-0090600) |
Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy (Licence: OH 02-0090600) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2012-10-15 |