| NPI | 1902296767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMERALD NGUYEN Pharmacy Intern 571-246-7829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0203015326) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |