Organization
NORTH COUNTY HEALTH CENTER
Active
Organization
NORTH COUNTY HEALTH CENTER
Active
Other names
North County 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
11484 WASHINGTON PLZ W, SUITE #300, RESTON, VA 20190-4344
(703) 787-3217
(703) 481-3853
Mailing address
11484 WASHINGTON PLZ W, SUITE #300, RESTON, VA 20190-4344
(703) 787-3217
(703) 481-3853
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004060
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4843466
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/14/2011
Last updated
11/14/2011
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