| NPI | 1790228146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGHT NII LANTE LAMPTEY Registered Pharmacist 571-331-1893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: VA 0202214980) |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2016-12-02 |