Organization
VIENNA DRUG CENTER INC
Active
Other names
VIENNA DRUG CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BORGATTI RPH (PRESIDENT)
(703) 938-7111
Entity
Organization
Contact information
Practice address
150 MAPLE AVE W, VIENNA, VA 22180-5727
(703) 938-7111
(703) 938-5242
Mailing address
150 MAPLE AVE W, VIENNA, VA 22180-5727
(703) 938-7111
(703) 938-5242
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201000838
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2102091
PK
—
05
—
8501122
—
VA
Enumeration date
09/20/2006
Last updated
06/15/2015
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