| NPI | 1053344705 |
|---|---|
| Doing Business As | SALEM COLONIAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DANIEL ROCK President 304-873-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0551183) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-04-02 |