| NPI | 1972764355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON MUENNICH Manager Of Pharmacy Licensing 513-762-1019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV MP0552364) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2018-04-20 |