| NPI | 1033169420 |
|---|---|
| Doing Business As | MAIN STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAWED ALI SHERWANI Owner 304-465-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2014-09-04 |