| NPI | 1215009014 |
|---|---|
| Doing Business As | ELM GROVE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANTHONY ANGELO MARTINO President/Pharmacist In Charge 304-242-1500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0550123) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-03-07 |