NPI | 1295740835 |
---|---|
Other Name | GLOUCESTER MATHEWS CARE CLINIC |
Entity Type | Organization |
Authorized Contact | KERRY DANACEAU PIC 804-642-9515 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: VA 0201003539) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-07-30 |
Last Update Date | 2025-09-19 |