Organization
LEESBURG PHARMACY INC
Active
Organization
LEESBURG PHARMACY INC
Active
Other names
THE PLAINS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAY GIL (PHARMACIST)
(703) 777-5333
Entity
Organization
Contact information
Practice address
6485 MAIN STREET, THE PLAINS, VA 20198
(540) 253-5275
(540) 253-5038
Mailing address
PO BOX 250, THE PLAINS, VA 20198-0250
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201000662
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4802193
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
8511012
—
VA
Enumeration date
09/21/2006
Last updated
11/17/2008
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