| NPI | 1619253846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN WILSON Director 540-266-6191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201004435) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2020-06-30 |