Organization
GAINESVILLE PHARMACY LLC
Active
Organization
GAINESVILLE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FERESHTEH EJTEMAI (PHARMACIST-IN-CHARGE)
(703) 909-8495
Entity
Organization
Contact information
Practice address
7963 HERITAGE VILLAGE PLAZA, GAINESVILLE, VA 20155
(703) 909-8495
(703) 425-2052
Mailing address
7963 HERITAGE PLAZA, GAINESVILLE, VA 20155
(703) 909-8495
(703) 425-2052
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
VA
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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