| NPI | 1801819792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS J ELLER Pharmacy Manager 216-961-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 02-0748900) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-06-18 |