| NPI | 1487669008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK OLEY Owner 804-288-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: VA 0201002128) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2024-10-03 |