| NPI | 1932906815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WOODSON TOWLER Manager, Pharmacy Services 757-213-5714 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-02-27 |