| NPI | 1568406254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KEITH SIMONS Director Of Pharmacy 304-243-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: WV IP0550411) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2015-02-23 |