| NPI | 1578611588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE PEARSON Dms 804-359-1337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: VA 0213000917) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |