| NPI | 1609418268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAC BROWN Owner/R Ph 304-550-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2021-11-10 |