| NPI | 1548343049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW GOMPERS President 304-234-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV sp0551220) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-03-11 |