| NPI | 1801195219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED ABDALLA Pharmacy Manager 703-388-0828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2012-10-08 |