| NPI | 1386669950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE JEROME BURNS President Pharmacist In Charge 703-451-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0201001712) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |