| NPI | 1366726424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN L WHITEHEAD Pharmacist In Charge 703-746-4850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: VA 0201001536) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |