| NPI | 1720295371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MULLANEY President 513-587-6201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OH RTP02223310003) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2012-12-26 |