| NPI | 1811337363 |
|---|---|
| Doing Business As | PROMEDICA PHARMACY COUNTER |
| Entity Type | Organization |
| Authorized Contact | MATT BODENSTEDT President 419-473-1493 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2014-06-18 |