| NPI | 1700980117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON BREDESTEGE Manager Pharmacy Licesning 513-762-1019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 06110) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 6110) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2023-03-07 |