| NPI | 1144466723 |
|---|---|
| Doing Business As | GAULEY RIVER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HOWARD BOONE President 304-742-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0552388) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2015-06-11 |