Organization
OPITIZ INC
Active
Other names
Regal Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
UMAMAHESWARA DONEPUDI (PRESIDENT)
(703) 490-1600
Entity
Organization
Contact information
Practice address
2068 DANIEL STUART SQ, WOODBRIDGE, VA 22191-3315
(703) 490-1600
(703) 490-6300
Mailing address
2068 DANIEL STUART SQ, WOODBRIDGE, VA 22191-3315
(703) 490-1600
(703) 490-6300
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0201004677
VA
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154129
PK
—
Enumeration date
08/25/2015
Last updated
12/11/2015
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