Organization
KC PHARMACY HEALTHMART INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIHAN SERAKA RPH (MANAGER)
(703) 339-9599
Entity
Organization
Contact information
Practice address
8988 LORTON STATION BLVD STE 102, LORTON, VA 22079-4757
(703) 339-9599
Mailing address
8988 LORTON STATION BLVD STE 102, LORTON, VA 22079-4757
(703) 339-9599
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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