| NPI | 1750820056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A FEIGHT Managed Care Coordinator 757-213-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201004760) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2021-04-20 |