NPI | 1184772824 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDY WOOD Dms 757-424-2490 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: VA 0213000749) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2020-08-22 |