# GUARDIAN PHARMACY OF NORTHERN VIRGINIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Guardian Pharmacy of Northern Virginia, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538860697
- **Authorized official:** CHAD TERRY (PRESIDENT/OWNER)
- **Authorized official phone:** (866) 768-8479

## Contact information

- **Practice address:** 13525 WELLINGTON CENTER CIR STE 109, GAINESVILLE, VA 20155-4062
- **Practice address phone:** (866) 768-8479
- **Practice address fax:** (866) 928-3983
- **Mailing address:** 13525 WELLINGTON CENTER CIR STE 109, GAINESVILLE, VA 20155-4062
- **Mailing address phone:** (866) 768-8479
- **Mailing address fax:** (866) 928-3983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/15/2023
- **Last updated:** 03/15/2023