| NPI | 1760596753 |
|---|---|
| Doing Business As | KC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | FARHAD MOALEM President Owner 703-339-9599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201004087) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2012-02-08 |