NPI | 1841916905 |
---|---|
Other Name | SPECIALTY PHARMACY |
Entity Type | Organization |
Authorized Contact | GLEN RICHARD DAVIS Director Reimbursement 330-543-4166 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
Enumeration Date | 2022-10-19 |
Last Update Date | 2022-10-19 |