| NPI | 1265996169 |
|---|---|
| Doing Business As | SULLYFIELD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HANY FARAG President 703-495-3410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |