Main Street Pharmacy, LLC
NPI #1710087085 in Springfield, Virginia
Provider Information
- NPI Number
- 1710087085
- Entity Type
- Organization
- Organization Name
- Main Street Pharmacy, LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Sep 25, 2006
- Last Updated
- Mar 7, 2019
Practice Location
- Address
- 7440 SPRING VILLAGE DR
- City
- Springfield
- State
- Virginia
- ZIP Code
- 22150-4446
- Phone
- (703) 923-4645
Authorized Official
- Name
- SUSAN COLBERT
- Title
- SR. DIRECTOR, PAYER RELATIONS
- Phone
- (401) 770-2751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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