Provider Demographics
NPI:1184346470
Name:INOVA HEALTH CARE SERVICES
Entity type:Organization
Organization Name:INOVA HEALTH CARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIR OF RETAIL & SPECIALTY PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-472-1989
Mailing Address - Street 1:44045 RIVERSIDE PARKWAY
Mailing Address - Street 2:SUITE N1112
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176
Mailing Address - Country:US
Mailing Address - Phone:703-858-6020
Mailing Address - Fax:703-858-6007
Practice Address - Street 1:44045 RIVERSIDE PARKWAY
Practice Address - Street 2:SUITE N1112
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176
Practice Address - Country:US
Practice Address - Phone:703-858-6020
Practice Address - Fax:703-858-6007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-14
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy