| NPI | 1730738170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTELLE LEWIS BROWN Owner/Operator 804-537-0103 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |