Organization
LOUDOUN COMMUNITY PHARMACY LLC
Active
Other names
Loudoun Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KHALID HARIS (MEMBER MANAGER)
(571) 499-4303
Entity
Organization
Contact information
Practice address
19415 DEERFIELD AVE, LANSDOWNE, VA 20176-8452
(571) 499-4303
Mailing address
14537 RAVENSCAR CT, CENTREVILLE, VA 20121-2532
(571) 499-4303
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
09/03/2020
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