NTA, LTD
18014 Jefferson Davis Hwy
Ruther Glen, VA 22546
804-448-2606
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | VA | 0201001307 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP | 4813918 | VA | OTHER |