NPI | 1518363241 |
---|---|
Doing Business As | COUNTRY RX |
Entity Type | Organization |
Authorized Contact | STEPHANIE STALNAKER Owner/PIC 304-884-7890 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WV SP0552483) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2014-11-06 |
Last Update Date | 2016-04-07 |