| NPI | 1457740433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PETTS Director Of Ambulatory Services, AO 304-388-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WV MP0552417) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2018-05-17 |