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VANDORN APOTHECARY LLC NPI 1174151716


NPI Information

NPI: 1174151716
Provider Name: VANDORN APOTHECARY LLC

Doing Business As: VANDORN PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 49D2199435

Address:
5724 EDSALL RD ALEXANDRIA VA 22304
ALEXANDRIA, VA
ZIP 22304
Phone: (202) 765-6110
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VANDORN APOTHECARY LLC is a community/retail pharmacy pharmacy in Alexandria, VA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. VANDORN APOTHECARY LLC NPI is 1174151716. The provider is registered as an organization entity type.
The provider Is Doing Business As Vandorn Pharmacy.

The provider's business location address is:

5724 EDSALL RD ALEXANDRIA VA 22304
ALEXANDRIA, VA
ZIP 22304-712
Phone: (202) 765-6110
Fax: (703) 348-8470

The provider's authorized official is Yodit Gulelat .
The authorized official title is Owner/manager and has the following contact phone number (703) 348-7186.

The CLIA number assigned to this NPI record is 49D2199435 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/30/2020 and was last updated on 8/24/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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