Healthcare Provider Details

I. General information

NPI: 1518391325
Provider Name (Legal Business Name): DAN'S PHARMACY INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2013
Last Update Date: 08/02/2021
Certification Date: 08/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 SOUTHGATE SHOPPING CTR
CULPEPER VA
22701-3833
US

IV. Provider business mailing address

418 GARRISONVILLE RD SUITE 100
STAFFORD VA
22554-1592
US

V. Phone/Fax

Practice location:
  • Phone: 540-657-0006
  • Fax:
Mailing address:
  • Phone: 540-538-1254
  • Fax: 540-657-9654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DINESH SINGH
Title or Position: PRESIDENT
Credential:
Phone: 540-657-0006