| NPI | 1780639286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BAKER President 304-855-4541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-07-07 |