| NPI | 1093850232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN BRIDGERS Director Of Pharmacy Services 804-968-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: VA 0213000985) |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-09-19 |