| NPI | 1891857454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVA DANIEL BOSTICK President 740-289-2269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 021054500) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |