Healthcare Provider Details

I. General information

NPI: 1679265250
Provider Name (Legal Business Name): WASHINGTON PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2023
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6795 WILSON BLVD STE 1A
FALLS CHURCH VA
22044-3313
US

IV. Provider business mailing address

6795 WILSON BLVD STE 1A
FALLS CHURCH VA
22044-3313
US

V. Phone/Fax

Practice location:
  • Phone: 703-237-2182
  • Fax: 703-237-0613
Mailing address:
  • Phone: 703-237-2182
  • Fax: 703-237-0613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. VAN HONG BUI
Title or Position: OWNER
Credential: DOCTOR OF PHARMACY
Phone: 703-237-2182