| NPI | 1023189040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE D. PFALZGRAF President 304-422-6511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WV SP0552220) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV SP0552220) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2010-09-28 |