| NPI | 1811988298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA BIRNEY PIC 757-565-7570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: VA 0201004009) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2020-08-22 |