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General NPI Number Information
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NPI Number | 1659363711
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Entity Type | Organization
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Legal Business Name | FALLS CHURCH PHARMACY, INC
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 11/04/2010
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Provider Practice Location Address
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Address Line | 6795 WILSON BLVD STE 1-A
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City | FALLS CHURCH
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State | VA
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Zip | 22044-3318
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Country | US
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Telephone | 703-237-2182
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Fax | 703-237-0613
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Provider Business Mailing Address
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Address Line | 6795 WILSON BLVD STE 1A
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City | FALLS CHURCH
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State | VA
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Zip | 22044-3313
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Country | US
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Telephone | 703-237-2182
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Fax | 703-237-0613
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | MS. THU ANH BUI
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Credential | PHARM.D.
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Telephone | 703-237-2182
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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 | 0201003833
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License Number State | VA
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