| NPI | 1851935399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OBIMBA ISAAC President/Owner 937-572-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2022-05-09 |