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Organization

TAZ TRADING COMPANY LLC

Active
Other names
MEDICAP PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS ZIEGLER RPH (OWNER)
(703) 858-9616
Entity
Organization

Contact information

Practice address
44260 ICE RINK PLZ, STE 105, ASHBURN, VA 20147-6040
(703) 858-9616
(703) 858-9313
Mailing address
44260 ICE RINK PLZ, STE 105, ASHBURN, VA 20147-6040

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201004117
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010359384
VA
05
1346333770
VA
01
4839556
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
09/30/2006
Last updated
02/18/2010
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  • EDI platform