NPI | 1811090954 |
---|---|
Doing Business As | ALUM CREEK PHARMACY AT SAND PLANT |
Entity Type | Organization |
Authorized Contact | JERRY SKEENES Owner 304-756-2181 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0552446) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-09-06 |
Last Update Date | 2013-03-25 |