| NPI | 1013034313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE VIDOT Registered Pharmacist 757-346-7801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PR 15F0494) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336I0012X Pharmacy Institutional Pharmacy | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2021-06-02 |