| NPI | 1588993695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD SCOTT MCKINNEY Pharmacist/Owner 304-275-4687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0552397) |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2009-12-18 |