| NPI | 1629426648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIL MANNA Owner, PIC, AO 703-215-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: VA 0201004708) |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| 333600000X Pharmacy | |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2023-09-19 |