| NPI | 1316229883 |
|---|---|
| Doing Business As | MOUNTAIN CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | SUSAN MAYHEW Dean 276-498-5201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: VA 0201004409) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2012-09-20 |