| NPI | 1801074018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNE L MOUNTS Pharmacy Director 330-345-5908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2009-06-18 |