| NPI | 1356374268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PRATT President 276-634-0922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201003742) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-09-13 |