| NPI | 1760925754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DUNCAN Owner 740-858-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: OH 34.002558) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-12-02 |