| NPI | 1386682540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BUTCHER Pharmacy Manager 304-255-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: WV SP0550710) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2010-10-07 |