Organization
PROSYNTHESIS LABORATORIES, INC.
Active
Other names
Unjury Protein
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME KRACHENFELS (OWNER)
(703) 625-1000
Entity
Organization
Contact information
Practice address
45975 NOKES BLVD, STE 170, STERLING, VA 20166-6554
(703) 430-2221
(703) 430-8886
Mailing address
45975 NOKES BLVD, STE 170, STERLING, VA 20166-6554
(703) 430-2221
(703) 430-8886
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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