| NPI | 1689447443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA DAWN BAIR CEO 937-599-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2024-10-02 |