| NPI | 1588842959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES VINCENT ETTARE President 434-237-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: VA 0201004203) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2010-10-14 |