| NPI | 1750441960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MCNAMEE Owner 304-235-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0550134) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: WV SP0550134) |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: WV SP0550134) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2015-06-08 |