MEDICARE: JOULE PHARMACY GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	0202205540	VA
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1023446309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOULE PHARMACY GROUP INC

Provider Business Mailing Address
First Line	:	1028 S WALTER REED DR
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-0815
Country	:	US
Telephone Number	:	571-699-3593
Fax Number	:	571-699-3581

Provider Business Practice Location Address
First Line	:	1028 S WALTER REED DR
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-0815
Country	:	US
Telephone Number	:	571-699-3593
Fax Number	:	855-382-7706

Authorized Official
Title or Position	:	PHARMACY MANAGER/OWENER
Name	:	MRS. FREWEINI TEWELDE
Credential	:	RPH
Telephone Number	:	571-699-3593

Provider Enumeration Date	:	10/23/2013
Last Update Date	:	11/15/2022

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