| NPI | 1114237229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI NOEL ROMERO Pharmacist In Charge 304-453-2381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WV SPO550104) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2023-04-10 |