| NPI | 1306883798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL Z BLUMBERG Managing Director 804-288-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-22 |