| NPI | 1710017108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABATHA FARMER Credentials 804-391-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: VA 0201003994) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2021-05-20 |