NPI | 1225014574 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK E MORRIS Vice President 304-986-3486 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: WV RP0002474) |
Additional Taxonomies | 333600000X Pharmacy (Licence: WV RP0003726) |
Enumeration Date | 2005-12-19 |
Last Update Date | 2020-08-22 |