Organization
CHOCOLA DRUGS INC FAIRFAY
Active
Other names
RESTON LAKESIDE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE COHN PHARMACIST (OWNER)
(703) 471-4535
Entity
Organization
Contact information
Practice address
1641 WASHINGTON PLZ N, RESTON, VA 20190-4305
(703) 471-4535
(703) 437-0040
Mailing address
1641 WASHINGTON PLZ N, RESTON, VA 20190-4305
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
0201000688
VA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4804325
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8506094
—
VA
Enumeration date
10/03/2006
Last updated
09/11/2025
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