| NPI | 1700891306 |
|---|---|
| Doing Business As | COMMUNITY PHCY OF SOUTH BOSTON INC |
| Entity Type | Organization |
| Authorized Contact | SAMUEL FISHER Owner 434-575-7988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201001935) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2011-11-07 |