| NPI | 1710433404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BROWN Owner 276-566-4234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201004720) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |