Organization
VANDORN PHARMACY INC
Active
Parent organization
VANDORN PHARMACY INC
Other names
Vandorn Apothecary LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VANDORN PHARMACY INC
Authorized official
YODIT GULELAT (OWNER/MANAGER)
(703) 348-7186
Entity
Organization
Contact information
Practice address
5724 EDSALL RD ALEXANDRIA VA 22304, ALEXANDRIA, VA 22304-4712
(202) 765-6110
(703) 348-8470
Mailing address
5724 EDSALL RD, ALEXANDRIA, VA 22304-4712
(202) 765-6110
(703) 348-8470
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
03/30/2020
Last updated
11/20/2024
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