Organization
BARA PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEOK YOUN SHIN (OWNER)
(571) 334-4513
Entity
Organization
Contact information
Practice address
7700 LITTLE RIVER TPKE STE 103, ANNANDALE, VA 22003-2400
(703) 459-3139
(703) 995-0664
Mailing address
7700 LITTLE RIVER TPKE STE 103, ANNANDALE, VA 22003-2400
(703) 495-3139
(703) 995-0664
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/12/2018
Last updated
12/06/2021
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