| NPI | 1447407150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE JOHNSTON CFO 304-924-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0552380) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2018-04-18 |