| NPI | 1275069122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY PIERCE LOWERY Pharmacist In Charge 540-433-5431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: VA 0201002981) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |