| NPI | 1750628541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A DUSTIN METS CEO 614-224-4506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: OH CL.020403100) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2016-12-05 |