NPI 1003845017
Nai Saturn Eastern LLC
Practice location
- Address
- 12200 Fairfax Towne Ctr, Fairfax, VA 22033-2877
- Phone
- (703) 359-0525
- Fax
- (703) 359-2907
- Mailing address
- 250 E Parkcenter Blvd Mailstop Sec2-B, Boise, ID 83706-3940
Authorised official
- Name
- Tiffany Eliopulos
- Title
- Assistant Manager, Enrollments
- Phone
- (208) 395-3906
Registered specialties (2)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1003845017
- Entity type
- Organization
- NPI issued
- 2 Jul 2006
- Record last updated
- 27 Sep 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.