NPI | 1649511791 |
---|---|
Doing Business As | PATIENT FIRST LAKE RIDGE |
Entity Type | Organization |
Authorized Contact | MARVIN WARREN BRIDGERS Director Of Pharmacy 804-822-4383 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: VA 0102202555) |
Enumeration Date | 2013-03-13 |
Last Update Date | 2013-03-13 |