| NPI | 1902223340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT TINGLER Owner 304-670-3678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV sp0552469) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |