| NPI | 1982735197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LOVE Director Of Pharmacy 703-207-7218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: VA 0201000979) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |