Healthcare Provider Details

I. General information

NPI: 1225574536
Provider Name (Legal Business Name): HNR FAMILY PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2017
Last Update Date: 04/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3449 FALL HILL AVE
FREDERICKSBURG VA
22401-4929
US

IV. Provider business mailing address

3449 FALL HILL AVE
FREDERICKSBURG VA
22401-4929
US

V. Phone/Fax

Practice location:
  • Phone: 540-358-8188
  • Fax: 540-707-9223
Mailing address:
  • Phone: 704-322-0593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number0201004753
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HARDIK PATEL
Title or Position: PHARMACIST IN CHARGE
Credential:
Phone: 704-322-0593