| NPI | 1417176041 |
|---|---|
| Doing Business As | MOUNDSVILLE IGA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RICHARD MOLLENKOPF Manager 304-612-3115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WV MP0552345) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-03-24 |