NPI | 1629359161 |
---|---|
Doing Business As | SERVANT PHARMACY OF VIRGINIA |
Entity Type | Organization |
Authorized Contact | RANDY ANGEL Owner/COO 919-760-5483 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: VA 0201004415) |
Enumeration Date | 2011-08-29 |
Last Update Date | 2014-03-12 |