| NPI | 1992740427 |
|---|---|
| Doing Business As | COAL GROVE PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | JASON PLUMMER Owner, PIC 740-533-2479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 021427050) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2016-03-14 |