| NPI | 1861947061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE GALLAHER President 614-566-0312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OH FTHH02074355003) | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2019-05-23 |