| NPI | 1831191139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD THOMAS STAKER President 740-353-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OH 020113850) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2010-03-02 |