| NPI | 1588142459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY S WARD Credentialing COO Rdinator 304-234-8663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: OH PMY.022759450-03) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |