| NPI | 1356302988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERICK MANIFOLD Executive Director 434-581-3273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: VA 0201001208) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2023-07-24 |