| NPI | 1275511768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARVIS T GRIFFIN Facility Director/CEO 804-524-7112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: VA 0201001240) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: VA 0201001240) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2023-06-16 |