Pruntys Pharmacy Inc

NPI 1073695854 - Pharmacy - 3336C0003X

NPI Details
NPI 1073695854
Enumeration Date 10/20/2006
Last Updated 07/17/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LARRY LARRY
Position PRESIDENT
Phone (304) 652-3711
Fax (304) 652-2371
Practice Location
717 WELLS ST
SISTERSVILLE WV, 26175-1325, US
Phone (304) 652-3711
Fax (304) 652-2371
Business Location
717 WELLS ST
SISTERSVILLE WV, 26175-1325, US
Phone
Fax
Toxanomy
Taxonomy Code 3336C0003X
License State
License Number
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According to our database, Pruntys Pharmacy Inc NPI is 1073695854, taxonomy code is 3336C0003X Pruntys Pharmacy Inc physically located at 717 Wells St, Sistersville WV, 26175-1325. NPI Number 1033115704 has the healthcare provider type.

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1073695854 NPI number is provided on an as is basis without warranty of any kind. 1073695854 is maintained by the National Plan & Provider Enumeration System. The contents of Pruntys Pharmacy Inc are for informational purposes only.