| NPI | 1255757506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XUAN HUYNH Pharmacist/Owner 571-338-1190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201004566) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2018-08-10 |