| NPI | 1760727416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOFI FOSU Pharmacy Manager 614-299-9669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2022-03-21 |