NPI | 1285858803 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA SWEARINGEN COO 304-526-1224 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WV OP0551219) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2007-04-13 |
Last Update Date | 2024-02-29 |