| NPI | 1538445101 |
|---|---|
| Doing Business As | MOUNTAINEER MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHARLES BRADLEY FRANZ Physician Member Of LLC 304-624-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0552423) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2013-06-13 |