| NPI | 1700253861 |
|---|---|
| Doing Business As | BYPASS PHARMACY # 4 |
| Entity Type | Organization |
| Authorized Contact | SIDDARTHAN ILANGOVAN Pharmacist 304-222-3064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WV MP0552418) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2021-11-18 |