| NPI | 1689789620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE RAY Phrmcy Supervisor 937-278-6341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |