Organization
PROSPERITY RX ARLINGTON
Active
Other names
Preston's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA CARRASCO (PHARMACY MANAGER)
(703) 216-2533
Entity
Organization
Contact information
Practice address
5101 LEE HWY, ARLINGTON, VA 22207-1603
(703) 522-3412
(703) 522-3414
Mailing address
5101 LEE HWY, ARLINGTON, VA 22207-1603
(703) 522-3412
(703) 522-3414
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
0201002360
VA
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166759
PK
—
Enumeration date
01/12/2017
Last updated
03/27/2017
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