| NPI | 1750917126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A FEIGHT Managed Care Coordinator 757-213-5683 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |