Organization
FISHHAT INC
Active
Other names
Medicine Chest Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD DAVID DANOFF BS PHARM. (OWNER, PHARMACIST)
(703) 827-0990
Entity
Organization
Contact information
Practice address
8100 OLD DOMINION DR STE C, MC LEAN, VA 22102-2034
(703) 827-0990
(703) 827-0990
Mailing address
8100 OLD DOMINION DR STE C, MC LEAN, VA 22102-2034
(703) 827-0990
(703) 827-0990
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202013116
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010093961
—
VA
Enumeration date
06/30/2005
Last updated
07/15/2021
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