| NPI | 1538243654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA KELLY Pharmacist 804-288-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0201002128) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: VA 0201002128) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |