Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Jul 11, 2011
License(s)
A1-0004163 (DE)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 247 HITHER CREEK LN | Reynoldsburg, OH 43068-7160 | |
| LOCATION | 420 N JAMES RD | Columbus, OH 43219-1834 | 614-257-2317 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.