Organization
HERNDON PHARMACY AND MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAMRAN AGHA- AMIRI (CEO)
(202) 257-9240
Entity
Organization
Contact information
Practice address
208 ELDEN ST, HERNDON, VA 20170-4877
(202) 257-9240
Mailing address
110 S GARFIELD ST, ARLINGTON, VA 22204-1842
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
10/06/2010
Last updated
10/08/2010
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