| NPI | 1114096450 |
|---|---|
| Doing Business As | COLONIAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW BENNETT Pharmacist In Charge 804-746-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201002983) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2009-12-10 |