| NPI | 1871039149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LEVAR Owner 440-585-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: OH 003672) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-31 |