NPI | 1952090672 |
---|---|
Other Name | THOMAS PHARMACY-KANAWHA AVE SW |
Entity Type | Organization |
Authorized Contact | AMY GOOD Director It 304-414-6145 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2023-05-08 |
Last Update Date | 2023-06-13 |