| NPI | 1417060658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MICHAEL MOSES Owner 804-643-3797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201000534) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |