Main Street Pharmacy, L.l.c.
NPI #1073159885 in Ashburn, Virginia
Provider Information
- NPI Number
- 1073159885
- Entity Type
- Organization
- Organization Name
- Main Street Pharmacy, L.l.c.
- Primary Specialty
- Pharmacy
- Enumeration Date
- Nov 27, 2019
- Last Updated
- Oct 14, 2020
Practice Location
Authorized Official
- Name
- SUSAN F COLBERT
- Title
- SR DIRECTOR PAYER RELATIONS
- Phone
- (401) 770-2751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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