| NPI | 1811058886 |
|---|---|
| Doing Business As | MEDICINE SHOPPE 963 |
| Entity Type | Organization |
| Authorized Contact | TOM MOWBRAY President 937-376-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 12260) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |