| NPI | 1174627368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMETT FRANCIS BAXTER Owner 804-478-4771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201002824) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-08-22 |