NPI | 1295883205 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH KAFFENBERGER Dms 757-473-8400 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: VA 213000508) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2020-08-22 |