| NPI | 1376825547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA Y CORBIN Pharmacy Manager 804-441-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: VA 0201004417) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |