| NPI | 1912055484 |
|---|---|
| Doing Business As | AMBULATORY CARE CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GLEN RICHARD DAVIS Director Reimbursement 330-543-4166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: OH 020616250) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2021-10-04 |