| NPI | 1740938604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY SULLIVAN DRAGAR Pharmacy Director 440-954-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-03-10 |