| NPI | 1194839258 |
|---|---|
| Doing Business As | TED'S PLAZA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | THEODORE H. AMEREDES PIC 304-723-2656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV MP0552293) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2008-11-15 |