| NPI | 1376958165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUSSEF SAKR Pharmacist In Charge 703-751-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2016-02-03 |