Organization
PHARMASUTRA PLLC
Active
Organization
PHARMASUTRA PLLC
Active
Other names
Gainesville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVINDER PAL KAHLON PHARM D (PHARMACIST/OWNER)
(703) 743-5603
Entity
Organization
Contact information
Practice address
7963 HERITAGE VILLAGE PLZ, GAINESVILLE, VA 20155-3077
(703) 743-5603
Mailing address
7963 HERITAGE VILLAGE PLZ, GAINESVILLE, VA 20155-3077
(703) 743-5603
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201004481
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700300506
—
VA
Enumeration date
08/02/2017
Last updated
07/21/2022
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