| NPI | 1700259728 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MICHAEL WILLIAM HOLCOMB Pharmacist 804-226-9389  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 333600000X Pharmacy (Licence: VA 0202010258)  | 
| Enumeration Date | 2015-11-12 | 
| Last Update Date | 2015-11-12 |