| NPI | 1942813209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO BUSTAMANTE Owner/ Operator 304-449-4528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |