| NPI | 1295739654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY JUDY President 304-257-1044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WV SP0550070) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2017-02-15 |