NPI | 1619050754 |
---|---|
Doing Business As | CRAB ORCHARD PHARMACY |
Entity Type | Organization |
Authorized Contact | RICHARD SALLAZ Owner/Pres/PIC 304-253-7474 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0552359) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2006-10-23 |
Last Update Date | 2017-02-21 |