NPI | 1255323234 |
---|---|
Doing Business As | LANTZS PHARMACY |
Entity Type | Organization |
Authorized Contact | KEITH LANTZ Owner PIC 540-869-1660 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201002810) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2005-08-16 |
Last Update Date | 2012-04-19 |