| NPI | 1831640663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY LYNN SUMMERS Pharmacist 304-290-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV RP0009882) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |