| NPI | 1811443799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON BREDESTEGE Pharmacy Licensing Manager 513-762-1019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y006935) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2017-12-04 |