| NPI | 1164602777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA H PATTERSON President 540-886-3433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: VA 0201003657) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2007-11-12 |