| NPI | 1750722906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DOUGLAS TINGLER Pharmacist 304-670-3678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WV MP055240) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |