| NPI | 1447783931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON TURNER Pharmacist 304-845-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WV SP0552510) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2020-12-29 |