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Contact Information

MY DR'S PHARMACY
492 ELDEN ST
HERNDON, VA20170-4513
 Phone: 703-215-8000
 Fax: 703-955-7558
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for MY DR'S PHARMACY

NPI Number 1629426648
LBN Legal business name MY DR'S PHARMACY
Authorized official JAMIL MANNA - (OWNER, PIC, AO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/31/2016
Last updated 09/19/2023 - About 3 years ago
Identifiers
VA License # 0201004708
VA Medicaid 1629426648
Other 2160792 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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