| NPI | 1851843965 |
|---|---|
| Doing Business As | SISSONVILLE HEALTH CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RHONDA WRIGHT Financial Administrator 304-595-5065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: WV MP0552428) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2018-07-19 |