| NPI | 1568551273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID G. MARTIN Pharmacist 703-780-4612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201001508) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |