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General NPI Number Information
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NPI Number | 1083427553
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Entity Type | Organization
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Legal Business Name | WEST FALLS CHURCH PHARMACY & MEDICAL SUPPLY LLC
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 1075 W BROAD ST
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City | FALLS CHURCH
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State | VA
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Zip | 22046-4610
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Country | US
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Telephone | 703-381-6550
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Fax | 703-381-6570
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Provider Business Mailing Address
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Address Line | 1075 W BROAD ST
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City | FALLS CHURCH
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State | VA
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Zip | 22046-4610
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Country | US
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Telephone | 703-381-6550
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Fax | 703-381-6570
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Authorized Official
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Title or Position | OWNER
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Name | PEYMAN PAUL ZAREH
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Credential | RPH
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Telephone | 423-676-0080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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