| NPI | 1528071222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE E STANFIELD VP 434-572-4274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 05976) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NC 05976) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |