| NPI | 1447236583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA S RONK Owner 304-429-6716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WV SP0550702) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy (Licence: WV SP0550702) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2023-03-07 |