| NPI | 1164409736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAIZ A OLEY Vice President 804-285-3428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: VA 0201002508) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2020-08-22 |