| NPI | 1942934633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PARKS HORN Pharmacist In Charge 804-897-6447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-07-19 |