| NPI | 1841916905 |
|---|---|
| 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 |