| NPI | 1851456289 |
|---|---|
| Doing Business As | SUNCREST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEVE MONTI VP/Sec/Tres 304-599-2159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0550277) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2015-03-16 |