| NPI | 1346567377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS CHAD FOREMAN Vice President 304-674-4677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-11-19 |