| NPI | 1841379567 |
|---|---|
| Doing Business As | BROOKSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GREGORY W CLINE President 419-423-7331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 02-0400600) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: OH 02-0400600) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2023-03-07 |