| NPI | 1053316166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY HATCHER WRIGHT Pharmacy Director 804-492-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201003971) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0201003971) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2023-01-24 |