Organization
WOODBRIDGE PHARMACY
Active
Other names
Woodbridge Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MOORE (PIC)
(703) 491-6802
Entity
Organization
Contact information
Practice address
14904 JEFFERSON DAVIS HWY, SUITE 206, WOODBRIDGE, VA 22191-3908
(703) 491-6802
(703) 491-6804
Mailing address
14904 JEFFERSON DAVIS HWY, SUITE 206, WOODBRIDGE, VA 22191-3908
(703) 491-6802
(703) 491-6804
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
11/11/2008
Last updated
02/10/2010
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