| NPI | 1790172146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARA WEBER Pharmacy Supervisor 740-438-6907 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: OH RTP 02250265003) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |