| NPI | 1417040197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J HALLA President/ Pharmacist In Charge 757-489-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0201002700) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-05-09 |