Provider Demographics
NPI:1912521675
Name:DUKE PHARMACY LLC
Entity Type:Organization
Organization Name:DUKE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:HADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-647-9939
Mailing Address - Street 1:5130 DUKE ST STE 7B
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-2955
Mailing Address - Country:US
Mailing Address - Phone:703-647-9939
Mailing Address - Fax:703-647-9007
Practice Address - Street 1:5130 DUKE ST STE 7B
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-2955
Practice Address - Country:US
Practice Address - Phone:703-647-9939
Practice Address - Fax:703-647-9007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-28
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy