# PARKVIEW NORTH VIRGINIA RX, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ParkviewRx Northern Virginia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508624909
- **Authorized official:** JUSTIN WACLAWEK (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (716) 876-2323

## Contact information

- **Practice address:** 11230 WAPLES MILL RD STE 115, FAIRFAX, VA 22030-5026
- **Practice address phone:** (703) 272-7040
- **Practice address fax:** (703) 272-7497
- **Mailing address:** 3920 MAIN ST \# 100, AMHERST, NY 14226-3350
- **Mailing address phone:** (716) 876-2323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/11/2024
- **Last updated:** 05/02/2024