Organization
OUTPATIENT RX INC
Active
Other names
PROSPERITY OUTPATIENT RX
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY ERME-COX CPA (CONTOLLER/PRACTICE MANAGER)
(571) 730-1128
Entity
Organization
Contact information
Practice address
3300 GALLOWS RD, TOWER LOBBY, FIRST LOBBY, FALLS CHURCH, VA 22042-3307
(703) 776-2029
Mailing address
3300 GALLOWS RD, TOWER LOBBY, FIRST LOBBY, FALLS CHURCH, VA 22042-3307
(703) 776-2029
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0201004071
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010238625
—
VA
Enumeration date
10/18/2006
Last updated
08/25/2010
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