Organization
LCC PHARMACY
Active
Other names
LCC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA AWUYEH (OWNER)
(703) 494-8000
Entity
Organization
Contact information
Practice address
1690 OLD BRIDGE RD STE 100, WOODBRIDGE, VA 22192-8006
(703) 494-8000
(571) 572-3647
Mailing address
1690 OLD BRIDGE RD STE 100, WOODBRIDGE, VA 22192-8006
(703) 494-8000
(571) 572-3647
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518635887
—
VA
Enumeration date
09/01/2021
Last updated
08/15/2022
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