| NPI | 1205879087 |
|---|---|
| Doing Business As | MCCLOUD FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KEVIN MCCLOUD Owner,PIC,AO 304-522-6090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0552325) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2015-07-17 |