| NPI | 1013433242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY FIELDS Pharmacist 540-303-2356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201002810) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2018-05-08 |