Organization
MARY WASHINGTON HEALTHCARE SERVICES INC
Active
Other names
MEDICAL ARTS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN T. BARDEN (CHIEF FINANCE OFFICER)
(540) 741-1494
Entity
Organization
Contact information
Practice address
1101 SAM PERRY BLVD, SUITE 120, FREDERICKSBURG, VA 22401-4467
(540) 741-1425
(540) 371-1968
Mailing address
1101 SAM PERRY BLVD, SUITE 120, FREDERICKSBURG, VA 22401-4467
(540) 741-1425
(540) 371-1968
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201002070
VA
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2103986
PK
—
05
—
8514372
—
VA
Enumeration date
06/14/2006
Last updated
01/20/2023
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