| NPI | 1265751614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARIKA JAHAGIRDAR Immunizing Pharmacist 703-413-0525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: VA 0202207673) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |