| NPI | 1366879173 |
|---|---|
| Doing Business As | RAVENSWOOD DRUG |
| Entity Type | Organization |
| Authorized Contact | EDWARD ZATTA Owner 740-593-0204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0552458) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2017-02-24 |