| NPI | 1720316029 |
|---|---|
| Doing Business As | CHAMPION MEDICINE SHOPPE |
| Entity Type | Organization |
| Authorized Contact | ASHLEY RENEE DUDLEY Pharmacy Manager 330-847-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OH 022001250) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2015-06-26 |