| NPI | 1053957787 |
|---|---|
| Doing Business As | MANASSAS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AMIT SHAH PIC 703-200-2945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |