| NPI | 1083820229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE DEFELICE President & CEO 304-232-4210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WV ST0552267) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2012-01-10 |