NPI | 1376895995 |
---|---|
Doing Business As | ALUM CREEK PHARMACY AT SAND PLANT |
Entity Type | Organization |
Authorized Contact | LISA LEACH CEO 304-824-5806 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0552448) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2012-10-05 |
Last Update Date | 2023-03-08 |