| NPI | 1790780377 |
|---|---|
| Doing Business As | BLANDS DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | BRENDA FOX PIC 304-624-5491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: WV SP0550017) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 333600000X Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2007-09-13 |