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
- City
- Glen Daniel
- State
- West Virginia
- 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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