| NPI | 1750379632 |
|---|---|
| Doing Business As | KINGWOOD PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER REESE Owner/Manager 304-329-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0550847) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2014-12-03 |