| NPI | 1245421312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BROSH PIC 304-257-1026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: WV OP0551225) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |