| NPI | 1770864738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE COLLINS NIETZ Pharmacist 419-474-3915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 03212717) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |