| NPI | 1053474155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA D MAIN Owner, R.Ph. 304-864-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV RP0002010) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |