NPI | 1942267497 |
---|---|
Doing Business As | MODERN PHARMACY INC |
Entity Type | Organization |
Authorized Contact | GLENN MILAM Owner 434-793-5711 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: VA 0201000491) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2014-11-21 |