| NPI | 1124118641 |
|---|---|
| Doing Business As | GLOUCESTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MYRON HODGES Pres PIC 804-694-5815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201003531) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2017-03-01 |