| NPI | 1811970882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA DENICE ENLOW Pharmacy Manager 740-772-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03-1-10920) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2008-10-06 |