| NPI | 1174745616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY B MOOLHUYZEN Director Of Pharmacy PIC 804-828-7542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: VA 0201002315) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |