Organization
GENERATION RX LLC
Active
Other names
Generation Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY LE (OWNER)
(703) 678-8050
Entity
Organization
Contact information
Practice address
8130 BOONE BLVD STE 115, VIENNA, VA 22182-2640
(571) 544-9730
Mailing address
8130 BOONE BLVD STE 115, VIENNA, VA 22182-2640
(571) 544-9730
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
08/07/2022
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