# MONUMENT-FAIRFAX, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Revolution Meds Pharmacy, Revolution Meds Pharmacy, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700401452
- **Authorized official:** PATRICK F DOWNING (COO)
- **Authorized official phone:** (410) 276-7586

## 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:** 11230 WAPLES MILL RD STE 115, FAIRFAX, VA 22030-5026
- **Mailing address phone:** (703) 272-7040
- **Mailing address fax:** (703) 272-7497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/09/2020
- **Last updated:** 10/10/2023