Organization
BAILEY'S HEALTH CENTER
Active
Organization
BAILEY'S HEALTH CENTER
Active
Other names
Bailey's Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KOOROSH JEIRAN (CHCN DIRECTOR OF PHARMACY)
(703) 459-7394
Entity
Organization
Contact information
Practice address
6196 ARLINGTON BLVD, FALLS CHURCH, VA 22044-2902
(703) 531-3759
(703) 237-9355
Mailing address
6196 ARLINGTON BLVD, FALLS CHURCH, VA 22044-2902
(703) 531-3759
(703) 237-9355
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004029
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4843478
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/14/2011
Last updated
11/14/2011
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