| NPI | 1073548160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALYN FOROOBAR Deputy Director For Health Services 703-246-2411 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: VA 0201001462) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2018-12-11 |