| NPI | 1083691836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EUGENE STREDLER President 757-583-7466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: VA AB9807009) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0201001900) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2023-03-07 |