St Theodore LLC

NPI #1710618129 in Aldie, Virginia

Provider Information

NPI Number
1710618129
Entity Type
Organization
Organization Name
St Theodore LLC
Subpart
Yes (part of a larger organization)
Parent Organization
-
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
Jun 17, 2022
Last Updated
Mar 29, 2023

Practice Location

Address
24585 STONE CARVER DR STE 175
City
Aldie
ZIP Code
20105-3255
Phone
(571) 367-3914

Authorized Official

Name
EHAB TADROUS
Title
PHARMACIST IN CHARGE
Phone
(571) 367-3914

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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