| NPI | 1598503468 |
|---|---|
| Doing Business As | CENTERVILLE CLINICS WASHINGTON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BARRY R NICCOLAI CEO 724-632-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-07-18 |