| NPI | 1457631079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY LEONARD BURTON Pharmacist In Charge 888-513-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201004065) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |