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 |