| NPI | 1619048410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD RODDEN Pharmacist 434-836-7144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: VA 0201002863) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-09-13 |