| NPI | 1518213917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD BAILEY CARTER Owner/Operator 804-647-4809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |