| NPI | 1063445427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD C ABERNATHY Owner/Pharmacist 804-733-4403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0000379166) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |