| NPI | 1902133903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON BREDESTEGE Manager Of Pharmacy Licensing 513-762-1019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WI 8964-42) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2016-12-01 |