Organization
SUDLEY PHARMACY
Active
Organization
SUDLEY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUSSAM AL-ATAT PHARMD (OWNER/PIC)
(202) 641-2221
Entity
Organization
Contact information
Practice address
8609 SUDLEY RD, MANASSAS, VA 20110-8321
(202) 641-2221
Mailing address
11713 ROBERT E LEE DR, BRISTOW, VA 20136-1381
(202) 641-2221
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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