| NPI | 1700600541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH RICHARD MACE Pharmacist/Owner 304-457-4233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2024-11-08 |