| NPI | 1821123373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE BROOKS Registered Nurse, Diabetic Educator 419-385-5705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 48153379) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |