| NPI | 1801035548 |
|---|---|
| Doing Business As | PROSPERITY PHARMACY MANASSAS |
| Entity Type | Organization |
| Authorized Contact | FRANK ODEH President 571-730-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201004275) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2017-04-24 |