| NPI | 1568487387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK L MULLINS Pharmacist Owner 276-328-9141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201003976) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202012914) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2014-06-10 |