| NPI | 1760805931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON BREDESTEGE Pharmacy Licensing Manager 513-762-1019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2016-09-23 |