Sullyfield Pharmacy LLC

NPI #1265996169 in Chantilly, Virginia

Provider Information

NPI Number
1265996169
Entity Type
Organization
Organization Name
Sullyfield Pharmacy LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 24, 2019
Last Updated
Jan 24, 2019

Practice Location

Address
14102 SULLYFIELD CIR STE 150B
ZIP Code
20151-1610
Phone
(703) 495-3410

Authorized Official

Name
MR. HANY FARAG
Title
PRESIDENT
Phone
(703) 495-3410

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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