Organization
MCLEAN PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINOUS GRANMAYEH KPH (OWNER/PHARMACIST)
(571) 488-6030
Entity
Organization
Contact information
Practice address
1392 CHAIN BRIDGE RD, MCLEAN, VA 22101
(571) 488-6030
(571) 488-6035
Mailing address
1392 CHAIN BRIDGE RD, MCLEAN, VA 22101
(571) 488-6030
(571) 488-6035
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
VA
Other
Enumeration date
09/16/2011
Last updated
05/02/2019
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