MOUNTAIN LAKE PHARMACY INC

Community/Retail Pharmacy

NPI: 1336228006Organization

Specialties, Licenses & Credentials

Pharmacy

Code: 333600000X

Community/Retail PharmacyPrimary

Pharmacy — Community/Retail Pharmacy

Code: 3336C0003X

SP0552314(WV)

Contact & Hours

Address: 1129 BROAD ST, STE 100
SUMMERSVILLE, WV 26651
Phone: (304) 872-9000

Quick Facts

NPI: 1336228006
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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