| NPI | 1962570945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD HENDERSON Registered Pharmacist Owner 740-702-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |