| NPI | 1275822744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA SHERRY BRACEY Pharmacy Manager 804-733-3471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202011049) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |