| NPI | 1578015160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGALI PATTISON District Manager 757-867-7109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202214980) |
| Enumeration Date | 2016-10-29 |
| Last Update Date | 2016-10-29 |