| NPI | 1992886626 |
|---|---|
| Doing Business As | PROSPERITY OUTPATIENT RX |
| Entity Type | Organization |
| Authorized Contact | BEVERLY ERME-COX Contoller/Practice Manager 571-730-1128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0201004071) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2010-08-25 |