Organization
STONE SPRINGS PHARMACY INC
Active
Other names
Stone Springs Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
TAHA TOKHI (PRESIDENT)
(703) 966-7853
Entity
Organization
Contact information
Practice address
10721 MAIN ST STE 107, FAIRFAX, VA 22030-6902
(703) 592-8300
(703) 592-8301
Mailing address
24818 WIND RIVER DR, STONE RIDGE, VA 20105-2949
(703) 966-7853
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004738
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155595
PK
—
Enumeration date
11/20/2015
Last updated
12/18/2016
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