NPI | 1073676698 |
---|---|
Doing Business As | SUBURBAN PHARMACY |
Entity Type | Organization |
Authorized Contact | SUNIL KANDREGULA Manager 757-397-2377 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201002490) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2015-01-27 |