| NPI | 1043275977 |
|---|---|
| Other Name | VIRGINIA UROLOGY-HANOVER DME |
| Entity Type | Organization |
| Authorized Contact | BRIGETTE BOOTH CEO 804-330-9105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0419750002) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2022-06-16 |