| NPI | 1528151958 |
|---|---|
| Doing Business As | MIKES PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PRILLMAN Pres 434-525-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: VA 0201003776) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-08-22 |