Organization
PHARMACY AT GREAT FALLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUCY VALLADARES (OWNER)
(571) 375-6876
Entity
Organization
Contact information
Practice address
731 WALKER RD # D1, GREAT FALLS, VA 22066-2834
(703) 555-4444
Mailing address
731 WALKER RD # D1, GREAT FALLS, VA 22066-2834
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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