Individual
JOHN HEINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6360 HOADLY RD, MANASSAS, VA 20112-3422
(703) 897-4961
Mailing address
2604 MIRANDA CT, WOODBRIDGE, VA 22191-5143
(703) 300-4150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202218283
VA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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