| NPI | 1790867570 |
|---|---|
| Doing Business As | MOUNDSVILLE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JASON TURNER Owner, PIC 304-845-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH NRP.022335850-03) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: WV SP0550787) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2017-03-15 |