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Contact Information

MARY WASHINGTON HEALTHCARE SERVICES INC
1101 SAM PERRY BLVD
SUITE 120
FREDERICKSBURG, VA22401-4467
 Phone: 540-741-1425
 Fax: 540-371-1968
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MARY WASHINGTON HEALTHCARE SERVICES INC

NPI # 1992748255
LBN Legal business name MARY WASHINGTON HEALTHCARE SERVICES INC
Authorized official SEAN BARDEN - (CHIEF FINANCE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2006
Last updated 01/20/2023 - About 3 years ago
Identifiers
VA License # 0201002070
VA Medicaid 8514372
Other 2103986 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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