| NPI | 1669642922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMYA R MARAE Pharmacist/Owner 757-595-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0201002006) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: VA 0201002006) |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: VA 0201002006) | |
| 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: VA 0201002006) | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2022-03-07 |