| NPI | 1740340983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSA LAM Lead Pharmacist 703-227-5006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy (Licence: VA 0201004121) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2021-05-27 |