| NPI | 1427380633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE JOHNSTON CFO 304-924-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WV SP0552399) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2018-07-19 |