| NPI | 1780863639 |
|---|---|
| Former Legal Business Name | ST ELIZABETH BOARDMAN HEALTH CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT W SHRODER President And CEO 330-480-3570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OH 02123950) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2022-01-26 |