| NPI | 1750592788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W. ARCHIBALD Pharmacist In Charge 540-536-1680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: VA 0201002404) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |