| NPI | 1073855250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE VUONG Pharmacist 703-922-1014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: VA 0202010922) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |