| NPI | 1316958978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES STALEY President 740-532-2546 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OH 020133450) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2010-01-28 |