NPI Code Details Logo

NPI 1992640486

NPI 1992640486 : LITUS INNOVATIONS LLC : ANNANDALE, VA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1992640486
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    LITUS INNOVATIONS LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/21/2026
-----------------------------------------------------
    Last Update Date     |    04/21/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7205 LITTLE RIVER TPKE 
-----------------------------------------------------
    City                 |    ANNANDALE
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    22003-3304
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    757-786-9518
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2803 MANCHESTER DR 
-----------------------------------------------------
    City                 |    PRINCE GEORGE
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    23875-1620
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    757-786-9518
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MANAGER
-----------------------------------------------------
    Name                 |     TEHSIN  ANJUM 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    757-786-9518
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    3336C0003X
-----------------------------------------------------
    Taxonomy Name        |    Community/Retail Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.