| NPI | 1851460703 |
|---|---|
| Doing Business As | PENNWAY PHARMACY |
| Doing Business As | PENN WAY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PAUL G STAKIAS Owner 304-748-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0550209) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2019-10-11 |