| NPI | 1528153905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY PLAS Pharmacy Manager 304-455-2171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WV SP05512167) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-11-21 |