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General NPI Number Information
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NPI Number | 1770974099
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Entity Type | Organization
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Legal Business Name | APOTHECO PHARMACY FAIRFAX LLC
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Dates
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Enumeration Date | 02/09/2015
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 6134 BRANDON AVE
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City | SPRINGFIELD
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State | VA
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Zip | 22150-2610
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Country | US
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Telephone | 703-644-0060
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Fax | 703-644-0525
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Provider Business Mailing Address
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Address Line | 788 MORRIS TURNPIKE, FL 3
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City | SHORT HILLS
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State | NJ
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Zip | 07078
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Country | US
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Telephone | 973-869-2820
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Fax | 973-869-2822
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Authorized Official
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Title or Position | PRESIDENT & OFFICER
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Name | MR. ANUSH AMIN
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Credential |
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Telephone | 973-869-2820
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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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