Organization
MEDEX HEALTH PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED ABDALLA (PHARMACY MANAGER)
(703) 208-1840
Entity
Organization
Contact information
Practice address
2835 GALLOWS RD, FALLS CHURCH, VA 22042-1005
(703) 208-1840
Mailing address
2835 GALLOWS RD, FALLS CHURCH, VA 22042-1005
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0201004516
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201004516
VA PHARMACY PERMIT
VA
Enumeration date
05/07/2013
Last updated
05/07/2013
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