Country Roads Pharmacy INC

NPI #1093881898 in Glen Daniel, West Virginia

Provider Information

NPI Number
1093881898
Entity Type
Organization
Organization Name
Country Roads Pharmacy INC
Primary Specialty
Pharmacist
Enumeration Date
Nov 27, 2006
Last Updated
Feb 24, 2014

Practice Location

Address
109 BOLT RD
ZIP Code
25844-0000
Phone
(304) 934-5327

Authorized Official

Name
MRS. TERESA CELENE THOMPSON, R.PH.
Title
REGISTERED PHARMACIST
Phone
(304) 934-5327

Specialties & Taxonomy Codes

Specialty
Pharmacist

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