| NPI | 1386653921 |
|---|---|
| Doing Business As | WONDER DRUG |
| Entity Type | Organization |
| Authorized Contact | JENNIFER TILLEY WITT Owner 540-890-3027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: VA 0201001662) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-17 |