| NPI | 1811031743 |
|---|---|
| Doing Business As | ASHBURN MEDICAL CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DEANNE G PETERSEN Chief Financial Officer 301-816-5760 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy (Licence: VA 0201004121) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2021-05-27 |