KLASS APOTHECARY INC
105 Dr Thatye Drive
Glandorf, OH 45848
419-538-7120
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | OH | 021756150 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2781306 | OH | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 3669314 | OTHER |