| NPI | 1700936077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES STEVEN WELLS Director Of Pharmacy 540-636-0256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 02010001233) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |