| NPI | 1568749646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LEE BARBER Pharmacist 606-454-1420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WV RP0007803) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |