| NPI | 1366204109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON LUCAS Pharmacist/Partner 540-566-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-01-26 |