Organization
LANDMARK PROFESSIONAL PHARMACY,LLC
Active
Other names
LANDMARK PROFESSIONAL PHARMACY,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ELIAS AMBAYE PHARMD (OWNER/MANAGER)
(703) 585-3059
Entity
Organization
Contact information
Practice address
5249 DUKE ST UNIT LL, ALEXANDRIA, VA 22304-2926
(703) 212-0200
(703) 212-0202
Mailing address
5249 DUKE ST UNIT LL, ALEXANDRIA, VA 22304-2926
(703) 212-0200
(703) 212-0202
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004527
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140651
PK
—
Enumeration date
06/19/2013
Last updated
02/20/2017
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