| NPI | 1184721920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS W TAYLOR Owner 757-229-1041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201001616) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-06-29 |