| NPI | 1558796326 |
|---|---|
| Doing Business As | EBENEZER MEDICAL OUTREACH, INC |
| Entity Type | Organization |
| Authorized Contact | GINA FINLEY PIC 304-529-0753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: WV CC0559059) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-11-06 |