| NPI | 1730666942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SIMMONS POPE Pharmacist In Charge 757-653-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |