| NPI | 1225458516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DOUGLAS TINGLER Owner 304-292-2787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV mp0552404) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |