NPI 1144539289
Herndon Pharmacy and Medical Supply INC
Practice location
- Address
- 208 Elden St, Herndon, VA 20170-4877
- Phone
- (202) 257-9240
- Mailing address
- 110 S Garfield St, Arlington, VA 22204-1842
Authorised official
- Name
- Kamran Agha- Amiri
- Title
- Ceo
- Phone
- (202) 257-9240
Registered specialties (2)
Community/Retail Pharmacy
Primary
Compounding Pharmacy
Registry record
- NPI
- 1144539289
- Entity type
- Organization
- NPI issued
- 6 Oct 2010
- Record last updated
- 8 Oct 2010
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.