| NPI | 1184022428 |
|---|---|
| Doing Business As | COMMUNITY CARE PHARMACY OF WESTON |
| Entity Type | Organization |
| Authorized Contact | RICHARD G. SIMON CEO 304-924-6262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WV SPO552482) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2019-02-13 |