NPI | 1174680128 |
---|---|
Entity Type | Organization |
Authorized Contact | BOBBIE JEAN THOMPSOM Owner 434-971-3560 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: VA 10-f-001) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2022-07-21 |