| NPI | 1912524554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSSEIN HAIDAR Pharmacist In Charge 419-394-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-05-04 |