| NPI | 1942612098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL FEMINELLA Pharmacist In Charge 804-520-2280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL ps43913) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: VA 0202209760) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2014-05-23 |