| NPI | 1053335638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD FREDERICK MADAGAN Owner/Pharmist 540-662-0383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201000299) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |