| NPI | 1134499361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MARL Owner/Vice President 304-280-0251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25855) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |