| NPI | 1942582572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRESTON TARRANT President 419-872-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: OH 022147200) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-09 |