| NPI | 1790923845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON BREDESTEGE Pharmacy Licensing Manager 513-762-1019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 5010331) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2023-03-07 |