| NPI | 1083729024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A BROERMANN Sr VP/CFO 757-455-7020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201004757) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2018-04-19 |