| NPI | 1487644795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ACHILLEOS Clinical Pharmacy Specialist 757-252-0988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: VA 0201003712) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NC 07702) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2018-03-30 |