| NPI | 1932647179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON BREDESTEGE Manager Of Pharmacy Licensing 513-762-1263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 7474) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2018-03-15 |