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Organization
VITHALLA, LLC
Active
Organization
VITHALLA, LLC
Active
Other names
MANASSAS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT SHAH (PIC)
(703) 200-2945
Entity
Organization
Contact information
Practice address
8573 SUDLEY RD, MANASSAS, VA 20110-3808
(703) 361-1332
(703) 361-5476
Mailing address
8573 SUDLEY RD, MANASSAS, VA 20110-3808
(703) 361-1332
(703) 361-5476
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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