| NPI | 1275134330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI NOEL ROMERO Pharmacy Manager 304-453-2381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |