| NPI | 1568945277 |
|---|---|
| Doing Business As | HERNDON PHARMACY AND MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | DIPTESHKUMAR PATEL Member 703-481-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-09-09 |
| Last Update Date | 2020-05-27 |