| NPI | 1922107481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM CLARK President 937-428-7970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OH 02731100) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2011-08-29 |