| NPI | 1306164835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY HARPER Owner 276-627-0536 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201004338) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2010-05-07 |