Organization
PROSPERITY PRINCE WILLIAM RX INC
Active
Other names
Prosperity Pharmacy Manassas
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK ODEH RPH (PRESIDENT)
(571) 730-1130
Entity
Organization
Contact information
Practice address
8644 SUDLEY RD, SUITE 120, MANASSAS, VA 20110-4417
(703) 334-5180
(703) 334-5184
Mailing address
8644 SUDLEY RD, SUITE 120, MANASSAS, VA 20110-4417
(703) 334-5180
(703) 334-5184
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004275
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801035548
—
VA
01
—
2118235
PK
—
Enumeration date
02/19/2009
Last updated
04/24/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up