Organization
MY DR'S APOTHECARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SALAM KAMONA (PHARMACY MANAGER)
(703) 592-8000
Entity
Organization
Contact information
Practice address
492 ELDEN ST STE B, HERNDON, VA 20170-4513
(703) 215-8000
Mailing address
492 ELDEN ST STE B, HERNDON, VA 20170-4513
(703) 592-8000
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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