| NPI | 1326147216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY PUNTY Owner President 304-758-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WV SP0550195) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-02-08 |