| NPI | 1881692226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER R. DAUER Director Of Pharmacy 757-424-8526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0201003416) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2008-07-24 |