| NPI | 1003777913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY LEE BOXWELL Owner/Pharmacist 540-533-5843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-11-20 |
| Last Update Date | 2025-11-20 |