| NPI | 1760495089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN WISSINGER Dir Of Phrmcy 614-228-4476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: OH 021280650) |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-02-26 |