| NPI | 1720176878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK C REALE Pharmacist Manager 330-489-1400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 02-114250) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-02-01 |