| NPI | 1568629251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAN VIEN GIANG Manager 757-636-6806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201004220) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |