| NPI | 1184998536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY NGUYETMINH NGUYEN Staff Pharmacist 571-231-3273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: VA 0202012158) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |