Organization
FAIRFAX NURSING CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VU NGUYEN (DIRECTOR OF PHARMACY)
(703) 273-7705
Entity
Organization
Contact information
Practice address
10701 MAIN ST, FAIRFAX, VA 22030-6904
(703) 273-7705
(703) 273-2072
Mailing address
10701 MAIN ST, FAIRFAX, VA 22030-6904
(703) 273-7705
(703) 273-2072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011795
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008530866
—
VA
Enumeration date
09/21/2006
Last updated
09/02/2009
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