| 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 |