| NPI | 1073941738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A FEIGHT Managed Care Coord 757-213-5683 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2021-06-24 |