| NPI | 1730122904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS G CASEY Pharmacy Manager 330-966-0548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 02-1528750) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-22 |