Organization
ALEXANDRIA CARE PHARMACY STORE#2
Active
Organization
ALEXANDRIA CARE PHARMACY STORE#2
Active
Other names
Alexandria Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NURUDDIN CHOWDHURY (OWNER)
(703) 566-0397
Entity
Organization
Contact information
Practice address
611 S CARLIN SPRINGS RD STE 105, ARLINGTON, VA 22204-1061
(703) 566-0397
(703) 566-0398
Mailing address
611 S CARLIN SPRINGS RD STE 105, ARLINGTON, VA 22204-1061
(703) 566-0397
(703) 566-0398
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004621
VA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149522
PK
—
Enumeration date
01/07/2015
Last updated
01/07/2015
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