| NPI | 1750425872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILBUR MORRIS HACKETT Managing Member 304-292-2787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WV MP0552259) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |