| NPI | 1366515991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD ALAN MOLES Owner 304-369-3981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: WV SP0552186) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-03-07 |