| NPI | 1255738076 |
|---|---|
| Doing Business As | PROSPERITY RX FAIRFAX, INC. |
| Entity Type | Organization |
| Authorized Contact | FRANK ODEH President 703-517-4779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201004617) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2017-04-24 |