| NPI | 1083837405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA S. RIDLEY Pharmacy Coordinator 540-381-0820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: VA 0201003434) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |