| NPI | 1104279066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY HOUVOURAS Chief Pharmacy Officer 304-399-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2022-04-06 |