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Contact Information

LANDMARK PROFESSIONAL PHARMACY,LLC
5249 DUKE ST UNIT LL
ALEXANDRIA, VA22304-2926
 Phone: 703-212-0200
 Fax: 703-212-0202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LANDMARK PROFESSIONAL PHARMACY,LLC

NPI Number 1013356427
LBN Legal business name LANDMARK PROFESSIONAL PHARMACY,LLC
Authorized official ELIAS AMBAYE - (OWNER/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/19/2013
Last updated 02/20/2017 - About 9 years ago
Identifiers
VA License # 0201004527
Other 2140651 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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