| NPI | 1881128544 |
|---|---|
| Doing Business As | BULL RUN PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VASUMATHI VANTIKOMMU Pharmacy Owner/Manager 703-568-2835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201004763) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2021-12-08 |