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Organization
PARKVIEW NORTH VIRGINIA RX, LLC
Active
Organization
PARKVIEW NORTH VIRGINIA RX, LLC
Active
Other names
ParkviewRx Northern Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN WACLAWEK (CHIEF OPERATING OFFICER)
(716) 876-2323
Entity
Organization
Contact information
Practice address
11230 WAPLES MILL RD STE 115, FAIRFAX, VA 22030-5026
(703) 272-7040
(703) 272-7497
Mailing address
3920 MAIN ST # 100, AMHERST, NY 14226-3350
(716) 876-2323
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Enumeration date
03/11/2024
Last updated
05/02/2024
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