| NPI | 1104823194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC B. BELLDINA Owner 304-864-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WV mp0552272) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV mp0552272) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2010-01-25 |