| NPI | 1912217399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY SHEEHAN Credentialing Specialist 513-530-7206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: TX 27201) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2024-12-16 |