| NPI | 1659661528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN JOSEPH COEHRS Director Of Pharmacy 419-291-4496 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2025-07-25 |