| NPI | 1871852848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERESHTEH EJTEMAI Pharmacist In Charge 703-909-8495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |