| NPI | 1295291953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTELLE LEWIS BROWN President/Owner/Operator 804-537-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-02-18 |