| NPI | 1134769888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON MEADOWS DOWDY Vice President Of Clinical Services 804-288-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-20 |