NPI | 1437420213 |
---|---|
Doing Business As | SENTARA MARTHA JEFFERSON OUTPATIENT PHARMACY |
Entity Type | Organization |
Authorized Contact | J. MICHAEL BURRIS VP, Chief Financial Officer 434-654-7305 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201004441) |
Enumeration Date | 2012-01-25 |
Last Update Date | 2016-04-19 |