| NPI | 1942963996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON MARK DOPPELHEUER Finance And Business Manager 216-778-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2021-10-18 |