| NPI | 1760772487 |
|---|---|
| Doing Business As | TYGART VALLEY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AMANDA SMITH Pharmacy Director 304-636-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WV SP0552421) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2013-11-20 |