| NPI | 1164940078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON O'CALLAGHAN Owner 304-741-0607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH PMY.022788400-03) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2018-06-16 |