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Organization
MANASSAS PHARMACY
Active
Organization
MANASSAS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY KENT MORRISON (RPH)
(703) 361-1332
Entity
Organization
Contact information
Practice address
8573 SUDLEY RD STE B, MANASSAS, VA 20110-3809
(703) 361-1332
Mailing address
8573 SUDLEY RD STE B, MANASSAS, VA 20110-3809
(703) 361-1332
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0201003955
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48-17776
NCPDP NUMBER
VA
Enumeration date
08/13/2006
Last updated
06/20/2008
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