| NPI | 1669546081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS BERGMAN CFO 937-641-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2023-03-07 |