| NPI | 1477089639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE MELVIN THOMPSON Pharmacy Manager 434-296-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: VA 0201003106) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2023-03-24 |