Individual
WILLIAM CALLAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
6600 SPRINGFIELD MALL, SPRINGFIELD, VA 22150-1712
(703) 921-9003
(571) 388-5217
Mailing address
6050 ALEXANDER AVE, ALEXANDRIA, VA 22310-4382
(540) 809-8442
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0202214977
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202214977
VIRGINIA BOARD OF PHARMACY LICENSE
VA
Enumeration date
11/24/2020
Last updated
11/24/2020
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