| NPI | 1063667947 |
|---|---|
| Doing Business As | MEDWOOD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SAAD MOSSALLATI Treasurer 304-623-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0552382) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2014-03-17 |