| NPI | 1255395968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KLISTA C NAJEWICZ Pharmacist In Charge 757-398-2245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: VA 0201003256) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2010-06-22 |