| NPI | 1811970775 |
|---|---|
| Doing Business As | CHEAT LAKE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEVEN MONTI Co Owner 304-594-0132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0551182) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2007-09-13 |