Provider Demographics
NPI:1285842104
Name:NOVA SCRIPTSCENTRAL
Entity Type:Organization
Organization Name:NOVA SCRIPTSCENTRAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:PEARSON
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:703-532-0158
Mailing Address - Street 1:6400 ARLINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-2325
Mailing Address - Country:US
Mailing Address - Phone:703-532-0158
Mailing Address - Fax:703-532-0372
Practice Address - Street 1:6400 ARLINGTON BLVD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-2325
Practice Address - Country:US
Practice Address - Phone:703-532-0158
Practice Address - Fax:703-532-0372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0201-004153333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy