NPI | 1497001499 |
---|---|
Doing Business As | BYPASS PHARMACY # 2 |
Entity Type | Organization |
Authorized Contact | SIDDARTHAN ILANGOVAN President 304-222-3064 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0552433) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2012-07-27 |
Last Update Date | 2021-11-18 |