NPI | 1619051448 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROL CISCO Bookkeeper Secretary 304-453-2381 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0550104) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2008-03-12 |