| NPI | 1376212886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY ALDERMAN SLAUGHTER Pharmacy Director 540-283-2555 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-08 |