| NPI | 1710257902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CLARK President 937-428-7970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OH 022177150) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-12-13 |