| NPI | 1053418897 |
|---|---|
| Doing Business As | CARRIAGE DRIVE PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | W KLUESNER President Owner PIC 304-252-5349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0550190) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-02-17 |