| NPI | 1770687162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L LONGVILLE CAO & Controller 216-636-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: FL PH21377) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2024-01-23 |