Organization
NOVA PHARMACY LLC
Active
Other names
NoVA Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TO-UYEN DO PHARMD,RPH (OWNER,PIC,AO)
(703) 538-5555
Entity
Organization
Contact information
Practice address
6023 WILSON BLVD, ARLINGTON, VA 22205-1503
(703) 538-5555
(703) 538-5557
Mailing address
6023 WILSON BLVD, ARLINGTON, VA 22205-1503
(703) 538-5555
(703) 538-5557
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004419
VA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497042956
—
VA
01
—
2130996
PK
—
Enumeration date
07/06/2011
Last updated
05/22/2015
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