| NPI | 1548622475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DAWN MORGAN Pharmacy Manager 540-432-0552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: VA 0202208347) |
| Enumeration Date | 2016-03-21 |
| Last Update Date | 2016-03-21 |