Organization
SULLYFIELD PHARMACY LLC
Active
Other names
SULLYFIELD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HANY FARAG (PRESIDENT)
(703) 495-3410
Entity
Organization
Contact information
Practice address
14102 SULLYFIELD CIR STE 150B, CHANTILLY, VA 20151-1610
(703) 495-3410
Mailing address
14102 SULLYFIELD CIR STE 150B, CHANTILLY, VA 20151-1610
(703) 495-3410
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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