Healthcare Provider Details

I. General information

NPI: 1629514575
Provider Name (Legal Business Name): FLASH RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2017
Last Update Date: 09/16/2022
Certification Date: 09/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 BACKLICK RD STE 140
SPRINGFIELD VA
22151-3940
US

IV. Provider business mailing address

5501 BACKLICK RD STE 140
SPRINGFIELD VA
22151-3940
US

V. Phone/Fax

Practice location:
  • Phone: 571-316-1420
  • Fax: 571-316-1995
Mailing address:
  • Phone: 571-316-1420
  • Fax: 571-316-1995

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: SARTAJ BAINS
Title or Position: OWNER
Credential:
Phone: 571-316-1420