Organization
LOUDOUN FAMILY PHARMACY CORPORATION
Active
Organization
LOUDOUN FAMILY PHARMACY CORPORATION
Active
Other names
Loudoun Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANAND SHAH (CEO/DIRECTOR)
(267) 257-3364
Entity
Organization
Contact information
Practice address
19415 DEERFIELD AVE STE 116, LEESBURG, VA 20176-8470
(703) 327-4284
(571) 291-2897
Mailing address
19415 DEERFIELD AVE STE 116, LEESBURG, VA 20176-8470
(571) 291-2896
(571) 291-2897
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004412
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255629671
—
VA
01
—
2131153
PK
—
Enumeration date
07/19/2011
Last updated
01/17/2017
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