| NPI | 1861522591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA OHLIGER LAVELLE Owner 440-777-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: OH 021637400) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336I0012X Pharmacy Institutional Pharmacy | |
| 3336M0003X Pharmacy Managed Care Organization Pharmacy | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2019-10-08 |