| NPI | 1821096314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI LYNN HATFIELD Owner 740-392-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 020179600) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 42018617) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2022-07-06 |