| NPI | 1922809540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL THOMAS PIGFORD Director Of Pharmacy 757-287-5145 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-03-20 |