Provider Demographics
NPI:1679265250
Name:WASHINGTON PHARMACY, LLC
Entity Type:Organization
Organization Name:WASHINGTON PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VAN
Authorized Official - Middle Name:HONG
Authorized Official - Last Name:BUI
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR OF PHARMACY
Authorized Official - Phone:703-237-2182
Mailing Address - Street 1:6795 WILSON BLVD STE 1A
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-3313
Mailing Address - Country:US
Mailing Address - Phone:703-237-2182
Mailing Address - Fax:703-237-0613
Practice Address - Street 1:6795 WILSON BLVD STE 1A
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-3313
Practice Address - Country:US
Practice Address - Phone:703-237-2182
Practice Address - Fax:703-237-0613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy