| NPI | 1457716334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL POWERS Owner 304-682-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WV 552498) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |