| NPI | 1871909796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENSEY JORDYN SCHULTZ Pharmacist 567-868-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03233890-2) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |