Organization
NORTHERN VA COMPOUNDERS PLLC
Active
Other names
Akina Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASSEM GIRGIS PHARMD (MANAGING PARTNER)
(908) 421-3738
Entity
Organization
Contact information
Practice address
23475 ROCK HAVEN WAY STE 105, STERLING, VA 20166-4477
(571) 267-5050
(571) 267-5051
Mailing address
23475 ROCK HAVEN WAY STE 105, STERLING, VA 20166-4477
(571) 267-5050
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Enumeration date
08/20/2013
Last updated
01/21/2021
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